Bemidji State University

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Home » Student Health and Counseling Services » Forms

Student Health and Counseling Services

Forms

Forms

Counseling Telehealth Consent Agreement
COVID-19 In-Person Counseling Informed Consent
Release of Information Form
BSU Minor Consent Form
Immunization Form
Counseling Informed Consent
Form Refusal Treatment
Client Rights and Responsibilties – Medical
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Bemidji State University
1500 Birchmont Drive NE, Bemidji, MN 56601-2699

Contact Us | Maps & Directions

  • Phone: (218) 755-2001
  • Toll Free: (800) 475-2001
  • TTY: (800) 627-3529

A member of the colleges and universities of Minnesota State, Bemidji State University is an affirmative action, equal opportunity educator and employer.

Bemidji State University has been accredited by the
Higher Learning Commission.

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