- Please see out Immunization Requirements page for more information and for the required forms.
Medical Information Release Forms
Releases must be signed by hand.
COVID Vaccine Diagnosis Letter Documentation
Letter to be completed by your primary care provider for students, who meet the Tier 1b criteria, who would be interested in receiving the COVID vaccine through UHP when it is available. Form can be submitted to our office by fax at 406-994-2504.
Note: All forms on this page are in Adobe PDF format.