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Patient Forms

Georgia Southern Health Services requires various forms to be completed upon enrollment and prior to your visit with one of our providers. In addition to being available below, many of these forms are listed on the Forms tab of your Eagle OSH (Online Student Health) portal in MyGeorgiaSouthern.

Some specialty clinics, like Psychiatry and Physical Therapy, may have additional forms that will be provided to you prior to service.

Completed forms can be uploaded to your Eagle OSH Patient Portal.

Required Forms

Parental Consent (for ages 17 and under)

Release of Information

ADD/ADHD Management

Health Services does not evaluate patients for ADD/ADHD, however we are happy to manage your care while you are enrolled at Georgia Southern University. Prior to your appointment with a Health Services provider, please complete the following consent form and return it to Health Services with copies of your medical records documenting current treatment plan and formal diagnosis.

Allergy Shots Management

Last updated: 3/21/2024