Policies and forms
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Policies
Amend Protected Health Information
Confidentiality and Patient Rights
Evaluation and Treatment for ADHD
Health Requirements for Entering Students
Immunization & Medical Record Requests
Notice of Privacy Practices – English
Notice of Privacy Practices – Espanol
Forms
Application Form for Domestic Partners
Controlled Medication Agreement
Health Requirements for Entering Students
Hepatitis B Vaccine Declination Form
Health Profession Student Flu Declination Form 2022-23
Influenza (Flu) High Dose Vaccine Consent Form 2023
Influenza (Flu) Vaccine Consent Form 2023
Influenza (Flu) Vaccine 2021-22 Flu Vaccine Information Statement (VIS)
Permission to Treat – Under 18
Preventive Care Physical, ESTABLISHED Patient
Preventive Care Physical, INITIAL Patient
Rabies Vaccine Declination Form
Respirator Education Information
Respirator Medical Evaluation Questionnaire
Request for Amendment/Correction of Protected Health Information
Request for temporary or permanent closer-in parking or student disability transportation