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Lafene Health Center

Forms & Brochures

Medical records FAX 785.532.3425

Treatment Agreement 

To access the Treatment Agreement form, please visit the patient portal (go to forms).

Follow-up health care brochure PDF file icon
Food record instructions
Food record forms PDF file icon
Lowdown on Lafene [html] PDF file icon

FAQ about services

Health history 

To access the Health History form, please visit the patient portal (go to forms).

Meningococcal Vaccine Statement  

Meningococcal Vaccine Waiver

MMR Vaccine Statement

Exemption Request Form

Notice of privacy practices [html] PDF file icon
Patient safetyPDF file icon
Records release for disclosure of protected health information PDF file icon
Travel Clinic form 
 
 
 
 
 
 


Disclaimer:

Users of the Lafene Health Center web site acknowledge their role and responsibility in seeking health care. Health information is provided on this web site as a reference, and is not intended to replace a visit to your doctor or other health care provider. Lafene Health Center is not responsible for information on web sites other than our own. The mention of a particular product or service does not constitute a recommendation or endorsement unless indicated. KSU students, for health care, see your Lafene healthcare provider. Medical care is not provided using e-mail.