Certain forms listed below may be required for your appointment. Only fill out forms as directed by health center staff. For questions, call 402.472.5000.
- Power of Attorney Form for students who are 18 | Versión en Español | POA Frequently Asked Questions
- 2024-25 Flu Vaccination Form
- Psych Medical History Form (For new psychiatric patients who do not have access to the patient portal)
- Dental Health History Form
- Travel Medical History Form
For authorization forms to release your health records, learn more about releasing records.