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College Health Forms

Health Services provides physicals and immunizations at reduced rates.
Pleasse call to schedule an appointment at our El Dorado or Andover Locations. 

Forms and Immunizations can be emailed to collegehealth@butlercc.edu

General Student Forms 

Privacy Notice

Release of Records to Health Services

Release of Records from Health Services

 

Nursing Department Forms

Entry Level Health Form

Annual Physical Form

Hepatitis AB Waiver

FAQs for Nursing, EMT, and AEMT

 

Allied Health Forms

CNA/CMA Physical

EMT Physical 

Fire Science Physical