Forms

IMPORTANT: Please download, print and fill out attached files prior to appointment.

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2019 Influenza Vaccine Forms

2019_influenza_consent_form.pdf
File Size:	156 kb
File Type:	pdf

Download File

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influenza_vis_.pdf
File Size:	319 kb
File Type:	pdf

Download File

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TSSAA Sports Physical Form

How to Schedule an appointment:

• Healow app- choose "Consultation" as appointment type, under "Notes" type in Sports Physical
• Patient Portal- choose "Sports Exam" as appointment time 
• Call support center (855) 571.4500- advise receptionist appointment is to be scheduled for a Sports Physical

tssaa_sports_pe_form.pdf
File Size:	666 kb
File Type:	pdf

Download File

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Medical Information Release Form (HIPPA Release Form)

medical_information_release_form.docx
File Size:	29 kb
File Type:	docx

Download File

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2019 GOV HRA Directions

gov_hra_2019_directions.pdf
File Size:	173 kb
File Type:	pdf

Download File

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2019 GOV HRA Dates

govhra.pdf
File Size:	1008 kb
File Type:	pdf

Download File

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