- Authorization for Release of Counseling or Health Records (doc)
- Consent for Medical Treatment of a Minor
- Consent for Medical Treatment of a Minor International Student
Electronic Medical Record
To begin your Electronic Medical Record with the Counseling and Health Center go to My CHC.
Once there Log in using your campus username and password
Click Forms on the left
- Consent for Treatment
- Notice of Privacy Practice
- Health History
- Immunization(leave blank if dates unknown)
You do not need to fill out the downloadable forms.