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Pre-Visit Forms

The following forms are available for download before your visit to the Student Health Center.

Make an Appointment

215.220.4700

Visits to the Drexel Student Health Center are by appointment. If you are sick, please contact us as early in the day as possible in order to receive same day services.

The Student Health Center has implemented Telemedicine Appointments to patients during the COVID 19 pandemic. Telemedicine is a simple way for patients to be treated by their provider by use of secure, HIPAA-compliant videoconferencing technology without an in-person visit.

Telemedicine benefits include:

Be seen/treated from anywhere
No travel time
No parking hassles
Keep your distance from others without reducing your quality of care
Review diagnostic tests during a Telemedicine visit

Please call 215-220-4700 to find out if you are eligible to schedule a virtual appointment.

Drexel University

Office of Counseling and Health Services

Pre-Visit Forms

Patient History Form [PDF]

Financial Responsibility Form [PDF]

Aetna Insurance Claim Form [PDF]