Home > Forms
Main Phone: 541-346-2770
Main Fax: 541-346-2747
Lab Fax: 541-346-2736
Address: click here
Click any link below to download a form. Forms can be submitted at the Main Reception Desk or in the drop-box outside of the 13th Street entrance. For the convenience of our international students, we provide translations of common medical terms in Chinese (download here) and Arabic (download here).
Personal Health History Form Sexual Health Form General Health Update Form CCare Enrollment Form Patient Satisfaction Survey (Feedback Form)
Release records from the Health Center Release records to the Health Center Release itemized health insurance claim forms
Authorization for Dental Treatment Form
Measles / Mumps Immunization Certificate - U.S. Students Measles / Mumps Immunization Certificate - International Students
Physical Therapy/Sports Medicine Health History Massage Intake Form Physical Therapy/Sports Medicine Patient Satisfaction Survey Massage Therapy Patient Satisfaction Survey
Pre-Travel Worksheet Student Travel Guidelines