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Counseling & Health Center

Forms

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

Complete:

  1. Consent for Treatment
  2. Notice of Privacy Practice
  3. Health History
  4. Immunization(leave blank if dates unknown)

You do not need to fill out the downloadable forms.