Student Health Services

FORMS

     
New Patient Forms:

Health History and Immunization Form 
New Patient Information  


Authorization for Release of Information 
  1. Release of Information TO FAMU    from an outside Healthcare Provider 
  2. Release of Information FROM FAMU to another Healthcare Provider  
  3. Privacy and Compliance Form 
Health Promotion and Outreach:

Contact Info

1700 Lee Hall Drive
116 Foote-Hilyer AC
Tallahassee, FL 32307

P: 850-599-3777
F: 850-412-5643