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Health Center Forms & Policies

 

New Patient Packet

Be prepared to show a student I.D. card with a current sticker each time you check in!

Patient Information Sheet 2012 (Acrobat Icon 24 KB)

Health Center Medical History (Acrobat Icon 94 KB)

HIPAA Policy (Acrobat Icon 58 KB)

Notice of Billing - 2013 (Acrobat Icon 77 KB)


New Patient Packet (Acrobat Icon 281 KB)



Medical Records & Privacy

 

adobe acrobat

The Health Center Forms are available in Adobe PDF format. You will need to download the Adobe Reader free software if you do not already have it.