Forms
Download, print, and complete the following forms as needed or when instructed to do so by Health Center staff. Forms are provided in PDF format unless otherwise indicated.
- Animal Handler Health Risk Assessment (PDF)
- Authorization to Disclose Medical Records (PDF)
- Diagnosis and Treatment of ADHD/ADD (MS Word)
- MMR Waiver (PDF)
- Notice of Privacy Practices (PDF)
- Parental Authorization for Treatment of a Minor (PDF)
- Release of Information to Parents (PDF)
- Record Release for Military Personnel
- Technique for Impregnating Clothing or Mosquito Netting with Permethrin Solution (PDF)
- Treating Warts (PDF)