Reason for Visit Please select the reason for today's visit Reason for Visit Please select the reason for today's visit --Please Select-- Hand in immunization requirements Hand in physical form Annual physical form To get information regarding immunization req/phys To obtain a copy of immunization Not feeling well Medicine Weight management Clearance for Nursing Program, PA or OT program HIV testing Health Insurance Domestic Violence Blood Pressure Condoms Personal Hygiene products Accident - Incident Band Aid Blood Pressure Breast Pump Immunization Clinic Information Other Student Received Letter