The Hepatitis B - Meningitis Immunization Health History Form located below is for students who will be under 18 years of age on the day they register for classes.
- Print a copy of the form from the link listed below
- Read the information provided, mark your selection, and have your parent or legal guardian sign the form
- You may submit the properly signed form
- In person to: Student Health Services
- By mail to: The University of Memphis, Student Health Services, 200 Hudson Health Center, Memphis , TN 38152
- By FAX to: 901-678-3124
Click HERE for the Meningitis & Hepatitis B Form