Patient/Client Forms

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

Patient Health Information Release – For requesting your medical/mental health records. Submit completed forms to the Aggie Health and Wellness Center.
Immunization Request Form

Minor Consent Form- permission to a treat minor 

Travel Form – If you are studying abroad or traveling out of the country, immunization requests will require additional information. Bring completed forms with you to your appointment.

New Mexico Advance Directive – Planning for important healthcare decisions.
Rights and Responsibilities and Health Practice Information of patients who are seen at Aggie Health and Wellness Center