Students may find additional forms for health care and counseling services in the Patient Portal. For questions or additional information, please email the Barnes Center at The Arch, or call 315.443.8000.
Please note that facility reservations may be requested through the Wellness Portal.
If the form you are looking for is unavailable, please call the Barnes Center at The Arch at 315.443.8000.
Media and Filming Requests
To request an interview with a member of the Barnes Center at The Arch, please complete the media request form.
To film and take photos in the Barnes Center at The Arch or another satellite recreation facility, please complete the film/video request form.
Tabling Requests
The Barnes Center at The Arch provides registered student organizations and academic/administrative units with tabling space in the recreation lobby area. To request tabling space, please complete the tabling request form.
Counseling Forms
- Authorization for the Release of Records (Counseling and Health Care) [PDF]
- Counseling Medical Leave of Absence Provider Letter [PDF]
- Counseling Medical Leave of Absence Provider Letter and Readmission Questionnaire [PDF]
- Parental Consent Form [PDF]
- Suspension Readmission Letter and Questionnaire [PDF]
Health Care Forms
- Authorization for the Release of Records (Counseling and Health Care) [PDF]
- Flu Vaccination Information Statement (from Centers for Disease Control and Prevention)
- Request for Medical Leave of Absence [PDF]
- Student Influenza Vaccine Consent Form [PDF] Download, print and sign for flu clinic appointment.
- Syracuse University Medical Transport Request [PDF]
Health Promotion Forms
- Bulk Sexual Health Supplies Order Form
- Event Submission Form
- Health Ambassador Volunteer Form
- Peer Educator Application 2020-2021 (To learn more about Handshake, please visit the Career Services website.)
- Safer Sex Express Individual Order Form
- Student Education and Prevention Team for Sexual and Relationship Violence (SEPT) Listserv Form
- Wellness Education Request Form (Wellness Leadership Institute Workshops)
Recreation Forms
- Accident Report Form
- Challenge Course Reservation Request
- Challenge Course Assumption of Risk and Waiver of Liability
- Personal Training Registration Form
- Private Swim Lessons Registration Form
- Starting a New Sport Club Guidelines [PDF]
- Sport Club Advisor Packet and Contract [PDF] Please print a copy for your advisor.
- Sport Club Coaches Agreement [PDF]
- Sport Club Expenditure of Funds Form
- Sport Club Handbook
- Sport Club Member List [Excel Spreadsheet] For print purposes only.
- Sport Club Registration Form [PDF] For print purposes only.
- Sport Club Release of Liability Form
- Sport Club Sample Constitution [PDF]
- Sport Club Sample Constitution [Word Document] Please do not edit Article XVI, XVII nor XVIII.
- Sport Club Travel Form