Forms and Documents

• Health information release form
• Billing information release form
• Immigration health information release request form
• Immunization requirements forms and procedures
• Blood borne pathogen exposure procedure and form

Dental

*These forms are fillable when downloaded to your desktop.

• Dental Communication Consent
• Dental COVID-19 Risk Consent
• Dental Medical History
• Dental Patient Responsibility Statement

Medical

• ADHD Stimulant Agreement Form
• PrEP Agreement Form
• Cologuard Order Requisition Form

Mental Health

• ADHD Stimulant Agreement Form
• Academic Medical/Disability Supplement Form
• Student Services Fee Assessment Request Form
• ISSS Health Information Release Form
• DRC Health Information Release Form

Under the University of Minnesota's Make-up Work for Legitimate Absence Policy, Boynton Health does not provide absence notes. The policy explains what you need to do if you miss class or coursework. Learn more about the absence note policy.