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17 Years & Younger

Incoming students who are 17 years old and younger must submit a completed Health History Form prior to registering for classes.

Instructions:

  1. Print out the Student Health History form.

  2. Read and complete all sections of the form, including a signature from your parent or guardian on page 2 (Consent for Treatment).

  3. Submit the completed forms to UTSA Student Health Services by one of four ways: in person, by fax, by mail or by email.

        UTSA Student Health Services
        One UTSA Circle, RWC 1.500
        San Antonio, TX 78249
        Fax: (210) 458-4151
        Email: StudentHealthServices@utsa.edu

    Downtown campus clinic:

        UTSA Student Health Services-Downtown
        501 E. Cesar E. Chavez Blvd
        San Antonio, TX 78207
        Fax: (210) 458-2935