Allergy Injection Order Form for Allergists (PDF)
Get the form for your allergist to complete and submit to Habif for your allergy injections.
Allergy Patients Letter of Agreement (DOC)
Complete the allergy patient's letter of agreement for allergy treatment at Habif.
Authorization for Medical and Mental Treatment and Financial Responsibility
Complete the authorization for medical and mental treatment and financial responsibility for Habif Health and Wellness Center.
Controlled Substances Agreement
This agreement is to provide you with the requirements, risks and benefits for ongoing treatment using controlled substances.
Counseling and Psychological Services Consent Forms
Complete the consent for mental health services form or the parental consent form for students under 18.
Email Authorization Form for Patient Communication
Email communication is available between you, your family (with your consent) and your providers, if you choose to submit the email authorization form.
Habif Health and Wellness Center and Center for Counseling and Psychological Services Outreach Form
To request an outreach presentation, please fill out the form below. Please respond to the questions with as much information as possible. Please give a minimum of two weeks’ notice […]
Health History Information
Complete your health history information and update your profile to include your preferred name, pronouns, and cell phone number before moving onto campus.