Forms

Downloadable Forms to Complete Before Your First Visit

To help minimize contact we request that you download and complete the following forms before your first visit. Students under the age of 18 need a parent's signature on all forms. After all forms are completed please upload them to the below secure Dropbox at least 24 hours in advance of your appointment. If available, please also upload a copy of your immunization records for review, you may also bring these records to your first visit.

Student Health Services Forms - Dropbox

Other Forms

Please download, fill out and print the appropriate form before coming into the SHC, or submit to our dropbox.

Contraception Forms

Medical Records Request and Release Form

This form must be completed and submitted to our dropbox before any medical record will be released. Our front office staff will contact you 3-10 business days after your request is submitted to advise of the status of your request.

Medical Records Release Form [PDF]

Immunization Form

Immunization Requirements Certification Form [PDF]

Tuberculoisis Screening Forms

Please download, fill out and submit to our dropbox the necessary forms prior to your appointment.

Forms

Forms

Downloadable Forms to Complete Before Your First Visit

Medical Records Request and Release Form

Immunization Form

Tuberculoisis Screening Forms

Student Health on Social Media: