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Emmons Health Center

  • Emmons Health Center
  • Health Forms

Health Forms

The links below provide students access to download the most commonly used health forms.

Health and Physical Exam Forms - (to be used for New Students, Intercollegiate & Club Sports, Study Abroad and Annual Physicals)

Health Record Request Form – (Can be requested by Student only. A $15.00 fee may apply.)

Emmons Health Center

  • About
    • Hours & Contact
    • Student Health Advisory Council (SHAC)
    • 24/7 Call Line
    • Emergency Phone Numbers
    • Cost of Service
    • Patient Rights & Responsibilites
    • Note Policy
  • People
  • Medical Services
    • Local Hospitals
    • Emergency Care
    • Local Medical Clinics
    • Urgent Care Clinics
    • Pharmacies
  • Psychological Services
    • Mental Health Emergencies
    • Training Opportunities
    • Mental Health Information
      • Depression
      • Anxiety
      • Drugs & Alcohol
      • Stress
      • Social Connections
  • Student Health Insurance
    • Student Insurance Plan
    • How Student Insurance Works
    • Find An In-Network Provider
    • Prescription Drug Benefits
    • Insurance & Intercollegiate Sports
    • Insurance & Travel Abroad
    • Supplemental Services
    • Medical Providers Near Campus
    • Counseling Providers Near Campus
  • Health Forms
  • Immunizations
  • Sexual Assault
  • Transportation Off-Campus
  • Health Links
  • FAQ's
  • Appointments: 323-259-2657
  • Fax: 323-341-4970
  • Email us: oxywell@oxy.edu
  • Suggestions: Leave Feedback

Occidental College

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1600 Campus Road Los Angeles, California 90041