Download Forms

Health Centre Registration

• Client Registration and Health Assessment form
• Client’s Statement of Understanding
• Privacy Practices Notification
• Adult Health History form
• Contraceptive History and Screening form

Work Place Injuries

• Injury Treatment Report
• Student Work Placment Injury Report

Immunization Records and Letters

• Information letter for Students
• Information letter for Faculty
• Immunization Records - Advanced Studies in Special Needs
• Immunization Records - Behavioural Science
• Immunization Records - CE-Nursing
• Immunization Records - Community Justice Services BAA
• Immunization Records - Food and Nutrition
• Immunization Records - Funeral Service Education
• Immunization Records - Guelph-Humber
• Immunization Records - Lakeshore Programs
• Immunization Records - OTA & PTA
• Immunization Records - Paramedic
• Immunization Records - Pharmacy Technician
• Immunization Records - RPN Woodstock

Immunization Screening Sheets

• Adacel Screening Sheet
• Gardasil Screening Sheet
• Hepatitis A Screening Sheet
• Hepatitis B Screening Sheet
• Hepatitis A & B Screening Sheet
• Influenza Screening Sheet
• Meningitis Screening Sheet
• Menactra Screening Sheet
• MMR Screening Sheet
• Polio Screening Sheet
• TB Screening Sheet
• TB Screening Sheet - Step 2
• Tetanus Screening Sheet
• Varicella Screening Sheet

Birth Control Screening Sheets

• DEPO-PROVERA Risk Assessment (DPRA)  
• EVRA Risk Assessment (ERA)  
• NUVARING Risk Assessment (NRA)
• Oral Contraceptive Risk Assessment (OCRA)

Peer Health Education

• PHE Application