Patient Forms
All forms are in a digital and secure format.
Simply locate the form required, fill it out on your device and click the submit button!
New CHC/SEK Patients
New Patient Packet – PSU Bryant Student Health Center (English)
New Patient Packet – PSU Bryant Student Health Center (Español)
Release of Information (PSU)
(for CHC/SEK to receive your Bryant Student Health Center Records for visits prior to August 7th, 2023)
Current CHC/SEK Patients
Demographic/Consent to Treat – English
Demographic/Consent to Treat – Español
Release of Information – English
Release of Information – Español
Permission to Verbally Share Health Information – English
Permission to Verbally Share Health Information – Español
Behavioral Health Patients
Questions?
You can call us 7 days a week and speak to one of our experienced, friendly staff who will be able to help you.
Our communication center is open:
7:00am – 7:00pm
Seven Days a Week
