College Health Forms
Physicals and Immunizations at Reduced Rates
Please 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
Nursing Department Forms
- Entry Level Health Form
- Annual Physical Form
- Hepatitis B Waiver
- FAQs for Nursing, EMT, and AEMT
- COVID Exemption Form
- Influenza Declination Form
- Clinical Requirement Process for Exemption
Allied Health Forms