Save time…if you have an appointment with Student Health Services and are a new patient, print and fill out the mandatory forms listed below in advance of your visit. Don’t forget to bring the completed documents and your health insurance card (if you have insurance) to your first appointment. Although SHS does not bill insurance, we like to have all your information on file.
Mandatory New Patient Forms
- Privacy Practices Document (document for you to keep and read) (PDF, 159KB)
- Acknowledgement of Receipt of Privacy Practices Document (PDF, 44KB)
- Consent to Treat (PDF, 1MB)
- Medical History Form (PDF, 209KB)