To access services at Student Health & Wellness Services students must complete and bring the following forms to be seen for their initial visit.
Please print and complete these forms to see a Medical Provider: Chart Face Sheet Health Questionnaire AUDIT (Alcohol Use Disorders Identification Test) Health Insurance Portability and Accountability Act General Consent to Treat and HIPAA
Please print and complete these forms to see a Clinical Psychologist:
Chart Face Sheet Health Questionnaire AUDIT (Alcohol Use Disorders Identification Test) Health Insurance Portability and Accountability Act General Consent to Treat and HIPAA Psychological Information Form Psychological Counseling Contract
Additional consents needed for minors: Please print this consent form, have your parent fill it out completely, and bring it with you. Consent for Treatment of Minor - Medical Consent for Treatment of Minor - Psychological