Self Identification of Special Needs

If you have a medical condition that you would like us to be aware of, we encourage you to complete this form.  The information on this form will be emailed to a designated staff member of Campus Health.

Self ID of Special Needs

Upon receipt of this form, a Campus Health medical provider will review the information and determine if more information will be needed from you. This information that you submit will be recorded into your health record at Campus Health and will be held in confidence. Campus Health respects and preserves the privacy and confidentiality of patient and personnel information.  Information whether written, spoken, recorded electronically, or printed will receive the same level of protection. 

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