Forms
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New Patients
If you are new to the Health Clinic and you want to save time checking in, fill out the New Patient Packet and bring it with you when you come in. Please complete the entire packet. If you need assistance, please call 970-351-2412.
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Medical Records Release
If you need a copy of your medical records, please fill out and return the Medical Records Release Form.
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Consent to Treat a Minor Student
If a student is under the age of 18, the student’s parent or guardian may need to provide a signed Consent to Treat Form prior to the student seeking care at the Health Clinic.
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Patient Confidentiality
The Health Clinic complies with the Department of Health and Human Services privacy and security rules.
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Immunization Requirements
Per the State of Colorado Immunization Law, all university students are required to submit proof of immunizations. If you do not have immunization records and you need a form to take to your doctor to fill out your vaccine dates, please use the Certificate of Immunization for College Students Form.
Certificate of Immunization for College Students Form