Patients' Rights and Responsibilities
Health Center Services and Clinics
Pre-Entrance Physical / Medical Evaluation Form
Volunteering for a Clinical Trial
Question about the Health Center? Ask Ellsworth!
Consent for Release of
Information (This form is used to obtain medical records from any medical office or release medical records from our Health Center)
NOTE: The Permission to Share Medical Information form must be filled out and signed by the student in the Health Center. This form is used to allow authorized individuals to discuss specified student's medical information.
Black History Month Speaker
Red Cross Blood Drive
10 am - 4 pm
Black History Month Lecture: Christopher Brown
11:30 am - 2 pm
Win a Night on Ice
9:30 pm - 11 pm
Red Cross Blood Drive
10 am - 4 pm
