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Forms

Unless otherwise noted, all forms are available as PDF.

Health Questionnaire: Return this completed form to Health Services before your first appointment.

Health Record Release: We must have this form on record if you need your records sent out or received.

College Screening Questionnaire: Return this form prior to mental health screenings (including depression, ADD, or ADHD screening).

Gynecological Health Questionnaire: Return this form prior to gynecological health appointments (for female patients).

STD Questionnaire: Complete this form before calling to make an appointment if you want to have STD testing done through Health Services.