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New Mexico State University
Campus Health Center
For Students

Student Patient Forms

Online Forms for Download

All forms are in .pdf format.

Requires Adobe Acrobat Reader

Here are some forms available for download that might help speed your next visit to the Student Health Center. You will be able to fill them out by computer or print them and fill them out by hand.

Forms
  • Patient Health Information Release
    Use this link to print the two page Medical History Form which is required to be completed by all patients before their first visit with a health provider at the Student Health Center. (May also be filed out in person.)