Health Forms

Health Forms

Patient Forms

  • Patient Consent Form-pdf
  • Patient Contact and Disclosure Form-pdf
  • Patient History Form-pdf
  • Patient Information Form-pdf
  • Patient Allergy and Medication Form-pdf
  • TB Skin Test Form-pdf

EOU Compliance Forms

  • MMR Immunization Form (new)-pdf
  • Health History Form (new)-pdf

Privacy Policies

Forms for Athletes

Medical Records Release

  • Medical Records Release form to EOU SHC-pdf
  • Medical Records Release form to request records from EOU SHC-pdf

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Eastern Oregon University