Student Wellness Services

Student Wellness Services

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Forms

Are you a new patient? Please complete the following forms and bring them to your first appointment:

Patient Demographic Information

Email consent

Student Wellness Services Consent 

Are you a new patient who is an international student? Please complete the following forms and bring them with you to your first appointment:

Patient Demographic Information

Email consent

Student Wellness Services Consent 

Governing law

Are you requesting an appeal? Please fill out the following form and return it to Health Services:

Appeal request