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

Meningitis & Hepatitis B Form