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    • Contraceptive Management
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    • Sexually Transmitted Infections
  • Men
  • Emergencies
  • Sexual Misconduct
    • After a Sexual Assault
    • Medical Support
    • Healing from Rape
    • Recognizing Abusive Relationships
    • Relationship Abuse Support
    • Preventing Sexual Violence
    • Help a Friend
    • Victim of Stalking
    • Obtaining a Protective Order
    • Effective Consent
    • Confidential Disclosure
    • Reporting Sexual Misconduct
    • Title IX
    • Sexual Misconduct Policy
    • Sexual Misconduct Board
    • Responsible Employee Defined
    • Accused of Sexual Misconduct
    • Request Training
  • Perimeter College
    • Rights & Responsibilities
    • Fees
    • Student Health Clinics Forms
    • Immunizations
      • Submit Immunization Documents
      • Required Immunizations
      • Waivers & Exemptions
      • Recommended Immunizations
      • Frequently Asked Questions
      • Copy of Immunization Records
  • FALL 2020
  • About
    • News
      • 2018 News Archives
      • 2017 News Archives
      • 2016 News Archives
    • Clinic Information
    • Fees, Payment & Insurance
    • Forms
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    • Contact
  • Services
    • Urgent Care
    • Primary Care
    • Dispensed Medicine
    • Immunizations & Travel
      • Immunization Information
      • Immunizations Provided
    • Nutrition Services
    • Laboratory Tests
  • Women
    • Contraceptive Management
    • Pregnancy
    • Sexually Transmitted Infections
  • Men
  • Emergencies
  • Sexual Misconduct
    • After a Sexual Assault
    • Medical Support
    • Healing from Rape
    • Recognizing Abusive Relationships
    • Relationship Abuse Support
    • Preventing Sexual Violence
    • Help a Friend
    • Victim of Stalking
    • Obtaining a Protective Order
    • Effective Consent
    • Confidential Disclosure
    • Reporting Sexual Misconduct
    • Title IX
    • Sexual Misconduct Policy
    • Sexual Misconduct Board
    • Responsible Employee Defined
    • Accused of Sexual Misconduct
    • Request Training
  • Perimeter College
    • Rights & Responsibilities
    • Fees
    • Student Health Clinics Forms
    • Immunizations
      • Submit Immunization Documents
      • Required Immunizations
      • Waivers & Exemptions
      • Recommended Immunizations
      • Frequently Asked Questions
      • Copy of Immunization Records
  • FALL 2020

Forms

The following forms and documents are needed by students who will be utilizing the Student Health Clinic’s services:

  • Release of Information Consent Form
  • Consent to Treat Minor Form
  • Immunization Form
  • New Patient Information
  • Study Abroad Form
  • Privacy Acknowledgement

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