Skip to main content area Skip to institutional navigation Skip to sub-navigation

Forms

There are two forms you will need to submit to Boettcher Health Center before you arrive at Colorado College. Each form is available to open and print below.  Once completed, please fax, mail, or drop off at Boettcher Health Center.

Boettcher Health Center
1106 N. Cascade Avenue
Colorado Springs, CO 80903

Fax: 719.389.6928


Certificate of Immunization for College Students (please complete both pages)

PPD (TB) Test Form - required for entry to Colorado College

For more information on Colorado Statutes: Colorado Revised Statutes on Meningococcal Disease

_______________________________________________________________________________________________

To request medical records from Boettcher Health Center, please complete this form below and submit to the clinic.

AUTHORIZATION FOR THE RELEASE OF MEDICAL RECORDS