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Pre-Visit Questionnaires

Home / Student Health Services / Pre-Visit Questionnaires
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Pre-Visit Questionnaires

Access questionnaires to help us prepare for your upcoming appointment.
Gender Affirming Care Intake Form

Please complete this form prior to your first Gender Affirming Care appointment with Student Health Services.

International Travel Questionnaire

Please complete this form prior to your upcoming appointment regarding international travel.

Mental Health Intake Form

Please complete this form prior to your upcoming mental health appointment.

Sexual Health Questionnaire

Please complete this form prior to your upcoming sexual health appointment.

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953 Danby Road, Ithaca, NY 14850
(607) 274-3011

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