Emergencies & After Hours
Information for Patients
Student Health Advisory Committee
Peer Health Education
Health Care for UMD Employees
New patients are encouraged to complete the following first three forms prior to their first appointment. In an effort to save you time, print off and complete these three forms prior to your first appointment. Present these to the registration clerk at the time of check in. All forms, if not completed online, must be completed in ink. All forms will be kept confidential, unless permission is granted to share information with relevant parties.
Other Health Services forms:
Wisconsin residents: To access your public WI immunization records, Please visit: https://www.dhfswir.org/PR/clientSearch.do?language=en. You will need to input some personal information (First and Last Name, Date of Birth, Social Security Number) and then you can print your records.