Health Forms

Unless otherwise noted, all forms are available as PDF. If you do not have Adobe Reader 9 installed, click OK on the error message to open form and download.

  • Health Questionnaire: Return this completed form to Health Services before your first appointment.  This form is not the one to be used for athletic participation.
  • 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.

In Plymouth Magazine

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Beyond Granite: The Museum of the White Mountains Takes on STEM

As American students and workers fall behind their counterparts around the world in the science and technology fields, educators and policy makers have stressed the importance of strengthening our attention to STEM—science, technology, engineering, and mathematics. Exhibition curator Sarah Garlick writes about the connections between earth science, adventure, and the process of learning STEM in […]

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PSU Collaboration Leads to Emmy

When Trish Lindberg was a 17-year-old musician, artist, and actor, her mother—a teacher herself—told her she would make a great teacher. Lindberg looked her mother right in the eye and said, “I will never be a teacher!” Mother Knows Best Decades later, Lindberg, now a Carnegie Foundation NH Professor of the Year, a recipient of […]

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Arts: Digital Repository Puts PSU’s History and Culture at Your Fingertips

Where can you get a close look at a photo of Babe Ruth standing in front of the Draper and Maynard Building, peruse a 1905 copy of Plymouth Normal School’s literary magazine The Prospect, and examine an aerial view of Plymouth State’s campus in 1960? Thanks to PSU’s digital repository, these historical treasures—along with 15,000 […]