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IUPUI Health Services name and a picture of the building
Forms

Student Health Forms can be retrieved by clicking on the following links:

ADD/ADHD Questionairre

Authorization for Treatment

Authorization to Release Medical Information

Contraceptive Renewal Form

Demographic Information Form

IUPUI TB Questionnaire

Pap Exam Questionnaire

Patient Report of Medical History

Residential Student Immunization Requirements

STI Questionnaire

UTI Questionnaire