Thagard Health Center Forms

Health Compliance

• Health Compliance Forms
• Required for ALL new FSU Students prior to registration
• Health Compliance Checklist
• Medical Records Release Form (pdf)
• This is not a “blanket” release form; it is to be completed by the patient on an as needed basis.
• Comparable Coverage for Domestic Students (pdf)
• Comparable Coverage for International Students (pdf)
• Third Party/Agency Billing Agreement (pdf)

Nutrition Clinic

• Nutrition Intake Form (pdf)

Faculty/Staff

• Authorization to Treat (pdf)