Health & Counseling Center Forms

Release of Protected Health Information (ROI) - Health & Counseling Center
(Download and print to fill out)

Release of Protected Health Information (ROI) - Health & Counseling Center (fillable PDF)
(Download this form and save as a PDF to fill it out electronically)

Revocation of Release of Information (ROI) - Health & Counseling Center
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Oregon Request for Confidential Communication

Measles Immunity Exemption Acknowledgment Form 
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