Client/Patient Forms

Here is a handy way to expedite your first appointment. Simply download the forms below, print them, fill them out, and bring them in with you to your first appointment. You will also find a temporary Student Health Insurance Plan ID form and some insurance enrollment forms. To view these forms, you need Acrobat Reader—A free download from Adobe.

Health Center

Authorization for Release of Information

Privacy Notice

Immunization Form

Insurance Forms

Quarter Student Forms
Students must enroll for each new coverage period. Only new students starting during the winter term may enroll for the winter quarter.

Law Student Forms
Students must enroll for each new coverage period. Only new students starting during the winter term may enroll for the winter quarter.