Policies and Forms
Class Excuse Policy
Below are some of our most common forms that a patient will have to complete on a visit. It is not mandatory that the forms be completeed in advance. It is simply a way to speed up your visit, as we know students are busy!
- Consent for Treatment of a Minor Child Form
- Insurance Information Form
- Women's Health History Form
- Authorization to Release Records
- E-mail Consent Form
- Acknowledgement for Receipt of Notice of Privacy Practices Form
International Travel Questionnaire
If you are having difficulty downloading any form(s), try updating the "Preferences" setting in Adobe Reader as follows:
- Open Adobe Reader
- Select "Preferences" from the "Edit" menu
- Select "Internet" from the "Categories:" list
- Un-check the "Display PDF in browser" check-box
If you are still unable to download the form(s), please call 515-294-5801 to have the form(s) e-mailed to you.