Two ways to complete Center for Healthy Living intake form

March 26, 2013  


A client's first visit to the Center for Healthy Living will include reviewing information on the client's intake form. Employees have two ways to complete the form.

* Complete the form online through the Center for Healthy Living portal before the appointment. Employees will go to https://purdue.opticonsite.com and log in with their Purdue career account and password. Instructions for accessing and completing the form are available at www.purdue.edu/hr/pdf/Optic_Patient_Portal_Intake_iForm.pdf.

* Complete a paper intake form at the center. Employees should allow 15 minutes to complete the form before their appointment begins.

Clients also should be prepared to provide a list of all medications they are taking. For those covered on the Purdue Choice Fund, the Purdue Incentive or the Purdue Copay medical plans, this information is available through the Express Scripts website at https://www.express-scripts.com.

Go to the Prescriptions & Benefits tab, and then select "Prescription history" from the links on the left side of the page. A "Print this page" link is offered at the bottom of the prescription history.

For questions about the intake form or the first appointment, call the Center for Healthy Living at 49-40111.

If you can not read the pdf documents on this page, please download Adobe Acrobat

Faculty-Staff News

More News

Purdue University, 610 Purdue Mall, West Lafayette, IN 47907, (765) 494-4600

© 2014-18 Purdue University | An equal access/equal opportunity university | Integrity Statement | Copyright Complaints | Brand Toolkit | Maintained by Marketing and Media

Trouble with this page? Disability-related accessibility issue? Please contact us at online@purdue.edu so we can help.