Forms & Policies

Leave of Absence

Undergraduate students seeking a leave of absence for health reasons can find more information on the Dean of Students Health Leave of Absence page. Students seeking a leave of absence for other reasons can find more information on the Registrar's Leave of Absence and Withdrawal page.

Graduate students seeking a leave of absence for health reasons should contact Laurie Witham, Assistant Director for Student Services & Records, by email or calling (603) 862-3004.

Medical Excuses

Medical excuses are not provided for students who miss classes or exams due to illness. Students are responsible for informing professors of illness or reasons for absence.


Confidentiality at Health & Wellness

Health & Wellness is committed to protecting the privacy and confidentiality of all patient/client health information. Our policies and procedures comply with federal and New Hampshire laws safeguarding patient/client privacy.

All interactions with Health & Wellness are considered strictly confidential. All staff members must sign a confidentiality agreement before being employed at Health & Wellness.

If you have any further questions about confidentiality at Health & Wellness, please email us at or call (603) 862-4557.


Forms and Notices

Patient Rights and Responsibilities

NH legislation requires we provide each patient with a copy of the Patient's Bill of Rights and Responsibilities. You will be asked to read and acknowledge this document at your first appointment to Health &Wellness.

Notice of Privacy Practices

We are required by law to maintain the privacy of protected health information and to provide you with notice of our legal duties and privacy practices for protected health information. Please review our Notice of Privacy Practice for additional information regarding the uses and disclosure of your health information.

Required Disclosures by NH State Law

Most information shared by health care providers and their patients or clients is privileged, confidential, and protected by the law,  though some exceptions exist. Please refer to these Required Disclosures by NH State Law. We adhere to NH state law when reporting information disclosed by patients/clients.

Release of Information Form

To comply with federal and NH state laws, you must complete and sign our Release of Information form to release your protected health information to another person or organization. 

So that you know, a fee may be associated with processing medical records requests. If you are a current student or employee of the University, you may access your medical records through the My Health & Wellness patient portal.

Permission to Treat Underage Student/Patient Form

If you will be under 18 when you start in the fall semester, upload the Consent to Treat Minors Form to My Health & Wellness. A parent or legal guardian's signature is needed.