OCC STUDENT HEALTH CENTER FORMS:
-print, fill out, and bring with you to your appointment.
OCC SHC Medical Intake Form (for all new patients; annually for returning patients)
OCC SHC Mental Health Intake Form
OCC SHC Medical Records Release (releases information FROM OCC SHC TO you or another agency)
OCC SHC Medical Records Release (releases information from another agency TO the OCC SHC)
OCC SHD Female Health History (for all gynecology appointments)
Consent for Treatment of Minors (not required for contraception, pregnancy, STI testing/treatment, or mental health crisis)
Allied Health Students
History and Physical Form (patients new to the OCC SHC must print and complete the OCC Medical Intake Form as well, and bring it with you when you make your appointment)
AHPE Form Rev 2013-06-05.pdf
CA Family PACT forms
This is our OCC SHC program for sexually transmitted infection screening and birth control options. All students must fill out the Contact Information, Enrollment Form, and the gender-specific History Form prior to their appointment.
Contact Information (all students)
Enrollment Form (all students)
Female History Form (female students only)
Male History Form (male students only)
Our newest student health resource is Student Health 101, an online newsletter that you can access by clicking on the following link. Please take the "Wellness Assessment" on page 2 of the newsletter.
Student Health 101 Online Magazine
Take the OCC online alcohol assessment, and educational program specifically customized for OCC students: E-CHUG-2-GO:
Free Online Alcohol Assessment