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Want to speed up your visit to Health Quarters?
Simply choose which forms you need (below) and print them out on white paper. Then fill them out in black ink, and bring them with you to your Health Quarters appointment*. These forms will become part of your medical record.
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(NOTE: If you currently do not have Adobe Acrobat Reader, you will need to download it now to access the files. The download is free of charge and only takes a few minutes.)
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Preparing for your Health Quarters visit is as easy as 1-2-3!
1)Everyone coming for a Health Quarters visit needs to complete one of these forms:
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2)New or existing? Is this your first visit to Health Quarters, or are you a current patient?
If you are a new patient and would like to have an exam, an STD check-up, or start birth control, complete one of these forms:
B) Existing patients who wish to come in for your yearly physical exam should fill out the Annual Medical History (for females).
3)Want Birth Control? Download and print the consent form for your desired method of birth control. (You can read the form ahead of time, but please don’t sign it until we review it with you at your appointment):
To learn more about the different methods of birth control available at Health Quarters, click here.
Additional Visit Forms
Pregnancy Test Forms 1 & 2
HIV Test Forms 1 & 2 (Coming Soon!)
· Confidential Rapid HIV Visit Form
· Confidential Rapid HIV Consent
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