Prepare For Your Appointment

Prepare for Your Appointment

If you are being seen at the Student Health Center for the first time, or have not been seen in the past 12 months, the following information is required:

  1. Past Medical History questionnaire. Please complete this form before you come in for your appointment.
  2. Your medication bottles or a photo of your medication bottles
  3. A copy of your insurance card to be scanned and kept on file in your chart. If you can, also email a photo of your insurance card to

Specialty Appointments

Some Specialty Clinic appointments may require previous medical information or completed online questionnaires prior to your appointment.  Please review the Pre-Appointment Quick Grid below to ensure you are properly prepared.

Specific Health History Questionnaires

Please fill out the required questionnaire at least one day prior to your appointment. These questionnaires allow for your provider to review important information in preparation for your visit.

In order to fill out the questionnaires:

  1. Go to the Health History Questionnaire website:
  2. Follow the prompts and fill in your personal information
  3. Choose the questionnaire from the list provided:
    1. Past Medical History
    2. STI Screening
    3. Mental Health Intake


Type of Appointment Specific Health History Questionnaire Additional Paperwork / Information
Annual Exam   Copy of Previous Pap Smear if done elsewhere
Birth Control/Contraceptive Start   Copy of Previous Pap Smear if done elsewhere
Continuing treatment of chronic illness   Summary letter from Primary Care Provider with information about condition, treatment, and medication list
Depo-Provera Shot   Copy of Depo Shot record from home; Copy of Pap Smear if done elsewhere
Medical Form Completion Exam
(study abroad, camp, job)
Mental Health Intake

Paper form(s) to fill out if applicable; your immunization records

Mental Health-ADD/HD Mental Health Intake

As outlined on our ADD/ADHD page

STI Testing STI Screening Do not urinate 1 hour prior to your appointment
Travel Consult Mental Health Intake

Visit and review your country info prior to appointment. 

Call to schedule free Group Travel Class as soon as you know of your travel plans - Minimum of 8 weeks before departure.

Your Immunization Records