Patient Resources
Here you can find commonly requested forms and helpful links to respected organizations to guide you in making informed decisions about your health.
Adult Patient Release Form
If your child is a new patient for ODU Community Care download and complete the PDF file or complete the online form.
Option 1: Print the form and bring it with you or e-mail it to oduprimarycareclinic@odu.edu.
Parent/Student Patient Release Form
If your child is a new patient for ODU Community Care download and complete the PDF file or complete the online form.
Option 1: Print the form and bring it with you or e-mail it to oduprimarycareclinic@odu.edu.
Media Release Form
Written permission stating that you are okay with us taking your photo or footage of you for us to use to promote our programs.
Option 1: Print the form and bring it with you or e-mail it to oduprimarycareclinic@odu.edu.
Federal law, the Health Insurance Portability and Accountability Act (HIPPA), protects you from having your health information disclosed to anyone without your consent or knowledge.