Save time…if you have an appointment with Student Health Services and are a new patient, print and fill out the mandatory form listed below in advance of your visit. Don’t forget to bring the completed document(s), your driver's license, student ID card, and your health insurance information (if you have insurance) to your first appointment.
Mandatory New Patient Form
Additional Forms (optional)
- Consent for Treatment of Minors (for students less than 18 years of age) (PDF, 310KB)
- Meningococcal Information Form (PDF, 1.66MB)
- Family PACT Program Client Eligibility Form (PDF, 85KB)
- Authorization for Release of Medical Information (to Self) (PDF, 54KB)
- Authorization for Transfer of Medical Information (to Outside Facility) (PDF, 26KB)