Forms

• Health and Immunization Form 
• Meningitis Information Response Form

Women's Clinic Appointment
Print the Women's Clinic form, fill it out completely and take with you for your appointment.
A completed form is required before being seen.

• Womens Clinic Form

Insurance and Prescriptions 

• Student Health Insurance Medical Claims Form
• Medco Pharmacy Reimbursement Form
• Medco By Mail Order Form
• Physician Medication Request Form

Medical Records Release Authorization

• Authorization to send records to FIT Health Services
• Authorization to send records from FIT to another medical office/facility

Housing

• Housing Request based on Extenuating Circumstances