Procedures and Forms - Area-Specific
Purdue University Student Health Center (PUSH)
Release of Information PolicyAllergy & Immunization Clinic
Authorization to Use or Disclose Immunization Records (pdf)
Authorization to Use or Disclose Immunization Records (doc)
CAPS (Counseling and Psychological Services)
Authorization to Use or Disclose (pdf)
Authorization to Use or Disclose (doc)
Family Health Clinic of Carroll County
Authorization to Use or Disclose (pdf)
Authorization to Use or Disclose (doc)
Nursing
Record of Disclosure, Chlamydia Report (pdf)
Record of Disclosure, Chlamydia Report (doc)
Record of Disclosure, TB Report (pdf)
Record of Disclosure, TB Report (doc)
Urgent Care
Record of Disclosure, Animal Bite Report (pdf)
Record of Disclosure, Animal Bite Report (doc)
Radiological and Environmental Management (REM)
Hepatitis B Authorizations: Immunization Letter to Supervisors (pdf)Hepatitis B Authorizations: Authorization to Use or Disclose (pdf)
Hepatitis B Authorizations: Authorization to Use or Disclose (doc)
Student Services Workstation and Technology (SSWT)
Verification of Identity for Password Changes (pdf)