• Hendrix Forms

Hendrix Clinic & Counseling Center

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    Attention newly admitted students: The following immunizations form and health history must be printed, completed, and returned to the health center before you can register for classes. You may submit the immunization information online or print out a copy to be sent to Hendrix Clinic and Counseling Center. Please keep a copy for your records.

    Required Prior To Registering For Classes:


    Other Forms:

     

    Requesting Health Information?
    If you request a copy of your health information to be given directly to you, there may be a charge based on the number of pages copied. There may also be a charge for records sent to insurance companies or legal offices.

    Fax Number
    218.477.5867

    Mailing Address
    Hendrix Clinic and Counseling Center
    1104 7th Ave South
    Moorhead, MN 56563