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University of Wisconsin-Green Bay

Counseling & Health Center


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


  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.