Our new patient forms and appointment questionnaires are available in electronic format through our Health Services Patient Portal. Please check the “forms” section on your portal prior to any appointments.
Optional forms are available below and can be submitted by attaching the completed forms on the Patient Portal in a Secure Message.
Optional Forms
- Authorization to Use or Disclose Protected Health Information
- Health Fee Waiver for Religious Reasons
- Medical Injury Report
- Minor Consent for Procedures
- Service Animal Policy
Other
Instructions to submit forms via Patient Portal
1. Log into the Patient Portal
2. Click on “Send a Secure Message”
3. Select “New Message”
4. Select the type of message you would like to send and click “Continue”
5. Select “Add attachment” and choose file or picture (if submitting by phone) to upload your form
6. Make sure to check the box where it states “I confirm I have attached the completed form” before you click “Send”
Accessibility Statement
We are committed to making all digital content for the Student Health Center accessible to every student. We regularly review and update content to meet digital accessibility standards. If you encounter any access barriers with our digital forms, please let us know by visiting or calling our office, as we likely have an alternate format available. Your feedback helps us improve access for all students.
