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Health History Form

Student Health Center
State University of New York
Fredonia, NY 14063

Location:LoGrasso Hall

Phone: (716) 673-3131

Fax: (716) 673-4722


Office Hours

Academic Year

8:00 am-5:00 pm M-F


8:00 am-4:00 pm M-F


Health History Form

Click on the link below to print out the Health History Form in PDF format.

PDF icon Health History Form (PDF 158 KB)
(Download free Adobe Acrobat Reader to view PDF document.)

Contact the Health Center if you need assistance in obtaining the Health History Form.

Page modified 12/7/15