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Forms and Information

Following are links to the most commonly used forms. If you have questions or concerns, please feel free to contact us by phone (858) 534-3300.

Insurance Forms

Note, the Health Fee Waiver application is not available here.  The waiver application is only available on-line through the Health Fee Waiver Tool in the TritonLink Toolbox. Read more ​about the waiver.​

Medical Records Forms

​Nutrition Forms

Miscellaneous Forms

  • Consent for Medical Treatment of Minors (PDF) - for ​any student under 18 years of age seeking health care. Have a parent/guardian sign it, and fax it to our Medical Records Department at (858) 534-7545. If you have questions, call Medical Records at (858) 534-2139​.
  • Notice of Privacy Practices (HIPAA, PDF) - Your rights and our obligations regarding the use and disclosure of your medical information in accordance with state and federal regulations.

Optometry Forms