Policies and Forms
Class Excuse Policy
For Students: Class attendance is an individual student responsibility and a
matter between you and your professors. With limited exceptions, Student Health providers do not give
class excuses. If you will be absent due to illness, you are responsible for calling or emailing
your instructors as soon as possible to notify them of your illness and to determine how best to make
up the class time or missed assignments. For more information, please select the following
link.
For Faculty: Class attendance is an individual student responsibility and a matter
between the student and her/his faculty. Students should follow their faculty
member's guidelines for notification of absences and to determine how best to make up the class
time or assignments that are missed. With limited exceptions, Student Health providers do not give
class excuses. For more information, please select the following link.
Forms
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.

