Forms

University of Nevada, Reno Student Health Center Redfield Building M/S 196
Reno, NV 89557-0073
Phone: 775.784.6598 Fax: 775.784.1298

In the event of an Emergency, please call 911 and go directly to the nearest Emergency Department!

Announcements

Clinic Policies

Forms

Health Information for Patients

HIPAA Privacy Policy

Immunizations

Insurance

International Students

Medical Records

Patient Eligibility

Patient Rights and Responsibilities

Pharmacy

Sports Medicine Fellowship

Staff

Student Health Advisory Committee

Summer Session

FORMS

The following forms are used by the Student Health Center Staff during your visit. You may click on the form and print it to fill out ahead of time. Please remember to bring it with you when you come for your appointment.

Consent for Treatment

Health History Form

HIPPA Privacy Policy

Immunization Questionnaire

Medical Records Release Form

Minor Student Consent to Treat Form for Parents/Guardians

Minor Student Consent to Own Treatment

Pap History Form

Patient Rights and Responsibilities

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Maintained by Carol Scott, MD
Last Updated:March 5, 2008

University of Nevada, Reno Student Health Center
Redfield Building Mailstop 196, Reno, NV 89557
Contact Us: Student Health Center
Phone: 775.784.6598 Fax: 775.784.1298
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