Student Health Clinic Forms

Grundy Hall Rm 215
319-296-4224
studenthealthcenter@hawkeyecollege.edu
Monday-Friday 8:30-4:00

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Please bring your student ID and complete the following forms* when visiting the Student Health Clinic.

• Patient Consent Form
• Health History Form
• Adult Registration Form (Only when needed for counseling appointments)

* The forms will open in a new window and are pdf documents.
If the forms do not open for you, download Adobe Reader to open the forms.