Book an Allergy Appointment

Student Information

Student Information

Parent or Guardian Information

Not Required

Food Allergie(s)/ Intolerance(s)

Food Allergy/ Intolerance(s)

To better understand how to accommodate your dietary needs on campus, please list all allergies, intolerances, or special dietary needs that apply.

Further Questions

Additional Information

Please provide any additional questions that you may have with regards to your allergy or nutrition needs.