Please review this document carefully. Wittenberg University Health Center is committed to protecting the information you share with us, and in turn respecting your privacy. This Privacy Statement will explain what type of information we keep, how we use your information and how we protect your information. Wittenberg University Health Center reserves the right to change this Privacy Statement at any time and will notify students of any changes required by law.
|Please download and sign this form and return it to the Health Center with your other health papers.|