Forms

MEDICAL
If you are a new patient and have never been seen by our Health Care Providers before, you will need to fill out a New Patient Intake Packet, for acute medical care.

If you are a returning patient you fill out the Returning Patient Intake Paper.

COUNSELING
If you are a new client and have never been seen by our Mental Health Counselors you come in to fill out the Request for Counseling Intake.

Once an appointment is made with a Counselor you will need to pick up the Counseling Intake Packet and have it filled out -Prior- to your first counseling appointment.

Contact Information

Student Wellness Center
North Shepler, Room 101
2800 W. Gore Blvd.
Lawton, OK 73505
Ph (580)581-6725
Fax (580)581-6733
Director Jill Melrose
jmelrose@cameron.edu
Maps & Directions