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.pdf
File Size:	285 kb
File Type:	pdf

Download File

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What's New For 2020 Wellness Compliance

2020_wellness_requirements_and_compliance.pdf
File Size:	127 kb
File Type:	pdf

Download File

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2020 Wellness Promise FAQs

faq_whats_new_with_the_wellness_promise_2020[1].pdf
File Size:	273 kb
File Type:	pdf

Download File

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2020 Annual Screening Form

boe_2020_annual_screening_form.pdf
File Size:	348 kb
File Type:	pdf

Download File

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