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17 Years & Younger

Incoming students who are 17 years old and younger must complete and submit one of the forms below prior to registering for classes.

Print Out and Complete Consent By Minor to Own Treatment if at least one of the below apply to you:

  1. you are on active duty with the armed forces of the United States of America,

  2. you are 16 years of age or older and resides separate and apart from his/her parents, managing conservator, or guardian (whether with or without the consent of the parents, managing conservator, or guardian and regardless of the duration of the residence), and is managing his/her own financial affairs (regardless of the source of the income).

  3. you are consenting to diagnosis and treatment of any infectious, contagious, or communicable disease which is reported to the Texas Department of Health

  4. you are an emancipated minor

Print out and Complete the Consent for Treatment of a Minor who does not have Legal Power to Consent form if none of the above apply to you.

Read and complete all sections of the appropriate form, including a signature from your parent or guardian (if applicable).

Submit the completed form to UTSA Student Health Services by one of four ways: in person, by fax, by mail or by email.

Main Campus Clinic
UTSA Student Health Services
One UTSA Circle, RWC 1.500
San Antonio, TX 78249
Fax: (210) 458-4151