George Mason University Student Health Services Allergy Clinic Student Employee Agreement Form 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name and G# in the designated fields at the top of the form. This personal information is essential for identification.
  3. Carefully read through the instructions provided regarding allergy injections. Ensure you have all necessary documentation from your allergist before proceeding.
  4. Fill out the responsibilities section, acknowledging your commitment to provide required documentation and adhere to clinic policies.
  5. Sign and date the form at the bottom, confirming that you understand and agree to all terms outlined in the agreement.
  6. Once completed, save your document. You can easily share it with Student Health Services via email or print it directly from our platform.

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Student Health Email For non-urgent or general information, you may email shsinfo@gmu.edu.
What is transcription? Transcription means that a healthcare professional will review your immunization records, verify information, and fill out the needed information for the George Mason Certificate of Immunization (formerly Immunization Record Form).
The student has a cumulative GPA below 2.00. Student will continue on Academic Probation and avoid suspension if their current term GPA is 2.00 or above, until their cumulative GPA docHubes 2.00 or above. Students returning from suspension are placed on Academic probation.
Students born after December 31, 1956, must provide documented proof that they have been immunized against certain communicable diseases. Accepted proof of immunization must be submitted for Hepatitis B, Measles, Mumps, and Rubella, Meningococcal, Tetanus/Diphtheria, Poliomyelitis, and Tuberculosis.
Inquiries related to Billing and Payments, Financial Aid, Housing, Military Services, and Registration should be submitted to the Mason Student Services Center via the Contact Form below or by calling 703-993-2000: If you need to contact another department, please click one of the links below for more information.

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1 ‒ Submit Your Deposit To secure your spot on campus, please submit your $250 enrollment deposit through our deposit portal. If your enrollment plans change, you may request an admission deferral.
Call 703-993-2831 during open hours or schedule online in the Patient Portal. Video telehealth and in-person appointments. Same-day appointments available for those with acute care needs call to schedule.

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