Pre-visit Forms and Downloads - Coastal Carolina University
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Pre-Visit Forms and Downloads

Pre-Visit Forms

You are encouraged to complete all applicable pre-visit forms prior to visiting Student Health Services. In order to complete pre-visit forms you will need to click on the link below and create a unique username and password if you have not done so already and complete the applicable pre-visit formPre-visit forms should only be completed if you have a scheduled appointment for one of the following reasons: Measles, Mumps, and Rubella (MMR) Vaccination, Meningococcal Vaccination, Tetanus (TDap) Vaccination, Influenza Vaccination, Hepatitis A Vaccination, Hepatitis B Vaccination, Gardasil (HPV) Vaccination, or a QuantiFERON (TB) Blood Test.

The Health History pre-visit form may also be found underneath the pre-visit form section; however, it should only be completed one time every academic year.  Also, the Authorization for the Release of Protected Health form (Authorization to Disclose Information form) maybe found in the same section; but it should only be completed when you are requesting records to be released to/from Student Health Services to/from another party (i.e. Healthcare provider, self, parent, school, etc.).