Student Medical Waiver and Release Form

Educational institutions, protect against claims and lawsuits with this Student Medical Waiver and Release Form.

• If you are providing vaccinations at your school against certain diseases, such as meningitis, make sure that any students who decline the vaccination sign this Release.
• The student agrees to release and hold the school, its trustees, officers and employees, harmless against any liability or claims arising in future.
• The student takes full responsibility for the risks involved with not receiving the vaccine, which may include death.
• The student will not be allowed to reside in campus residence if they have not received this vaccination within the past 3 years.

This Student Medical Waiver and Release Form is provided in MS Word format, and is easy to download, fill in and print.