Some forms (.pdf) require Adobe Acrobat Reader to view.
Health and Consent Forms
- Health History Form - to be completed online at the Health Portal by all students and new patients.
- Notice of Privacy Practices and Consent Form - to be completed online at the Health Portal by all students and new patients.
- Parental Consent Form - to be completed online at the Health Portal by parents/guardians of students under the age of 18.
Click here for information on immunization requirements.
Insurance and Prescriptions
- Aetna Medical Claims Form (.pdf)
- Aetna Prescription Drug Claim Form (.pdf)
- Aetna Medication Mail Order Form (.pdf)
- Aetna Dependent Enrollment Form (.pdf)
Medical Records Release Authorization
- Consent to Share Health Information between FIT Health Services and Counseling Center - available online at the Health Portal.
- Authorization to send records to FIT Health Services (.pdf)
- Authorization to send records from FIT to another medical office/facility (.pdf)