MyMBU

Emergency Contact/Medical Form

Learn more about MBU

Step 2

Please download and complete the Emergency Contact form and re-upload to this page to submit. The following are required in order to complete the application process: personality profile, insurance cardimmunization records and deposit.

Emergency Contact/Medical Form

    In case of illness or injury, the University is granted the right to request treatment of a student including, but not limited to, contacting emergency personnel and admission to a hospital facility. By clicking "I agree," I certify that I am 17 years old or older and the information given is correct to the best of my knowledge.
    I certify that I am a legal guardian of said student and the information given is correct to the best of my knowledge.