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Student &
Campus Life

Student Health Appointment

Please complete this form to request an appoint with the Health and Wellness Center. All appointments must be scheduled in advance to ensure that services will be covered for students without health insurance.

Once the form is completed, the Office of Student Services will contact you about your scheduled appointment.




 
 
 
  

Insurance*


 

Have you been seen at the Health & Wellness Center before?*


 

Reason for Appointment Request*