CINXE.COM
Forms & Documents - Boynton Health - University of Minnesota
<!DOCTYPE html> <html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# " style="display: none;"> <head> <meta charset="utf-8" /> <meta name="description" content="Access important forms and documents used at Boynton Health for your healthcare needs." /> <meta name="keywords" content="Boynton Health Forms, Medical Records Form Boynton Health, Patient Forms Boynton Health, Dental Forms Boynton Health, Health Information Release Boynton Health, Billing Forms Boynton Health" /> <link rel="canonical" href="https://boynton.umn.edu/forms-documents" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:title" content="Forms and Documents" /> <meta name="twitter:site" content="@boyntonhealth" /> <meta name="twitter:site:id" content="1324654154" /> <meta name="twitter:image:alt" content="Boynton Health Website" /> <meta name="twitter:image" content="https://boynton.umn.edu/sites/boynton.umn.edu/files/2022-10/after_hours_hero1.jpg" /> <meta name="Generator" content="Drupal 10 (https://www.drupal.org)" /> <meta name="MobileOptimized" content="width" /> <meta name="HandheldFriendly" content="true" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <link rel="icon" href="/sites/boynton.umn.edu/files/umn-favicon.png" type="image/png" /> <title>Forms & Documents - Boynton Health - University of Minnesota</title> <link rel="stylesheet" media="all" href="/sites/boynton.umn.edu/files/css/css_uiPxq3JpuSvbLqgZuOAQcwGwj0NyxMjYfvBmwE-mZoQ.css?delta=0&language=en&theme=boynton_health&include=eJyFkWFuwyAMhS_EwpGQSZzEk7EphqXZ6Ze2S9dWUfcH8T4_5GcTdZWqEmYErrMfVaq5-Awn1gj8YXVlksn1DGarj2C43xOawYTmemUtUc8-M5BssqAfSsvAHXzC-QZESwKmb3Sj8oLM17awoGl6ZnZXLxl-ceg1ZRXcnH5HMAyhQrRDz9IDs7Z6XMyN-dS04nHZKGXGR9M99eME3YJxD__e0NlMyWUoMBXIs-2r-iNdk9wik804uIK2hTH6wpBQmn_RXbqc_7r2FRpVXGjAAIylehKqzlarmG5f25IEaxnLuHX3l6c_f6jeCw&strk4v" /> <link rel="stylesheet" media="all" href="https://use.fontawesome.com/releases/v6.5.2/js/all.js" /> <link rel="stylesheet" media="all" href="https://use.fontawesome.com/releases/v6.4.2/js/v4-shims.js" /> <link rel="stylesheet" media="all" href="/sites/boynton.umn.edu/files/css/css_hmxrYQeDsF32T_wK8lqpl5QGR50YGJWDWl4SqLX6t18.css?delta=3&language=en&theme=boynton_health&include=eJyFkWFuwyAMhS_EwpGQSZzEk7EphqXZ6Ze2S9dWUfcH8T4_5GcTdZWqEmYErrMfVaq5-Awn1gj8YXVlksn1DGarj2C43xOawYTmemUtUc8-M5BssqAfSsvAHXzC-QZESwKmb3Sj8oLM17awoGl6ZnZXLxl-ceg1ZRXcnH5HMAyhQrRDz9IDs7Z6XMyN-dS04nHZKGXGR9M99eME3YJxD__e0NlMyWUoMBXIs-2r-iNdk9wik804uIK2hTH6wpBQmn_RXbqc_7r2FRpVXGjAAIylehKqzlarmG5f25IEaxnLuHX3l6c_f6jeCw&strk4v" /> <link rel="stylesheet" media="all" href="/sites/boynton.umn.edu/files/css/css_m_hs_qRZxcWRswwij1bgT4syXj0V8ZW2GPKVBds1W54.css?delta=4&language=en&theme=boynton_health&include=eJyFkWFuwyAMhS_EwpGQSZzEk7EphqXZ6Ze2S9dWUfcH8T4_5GcTdZWqEmYErrMfVaq5-Awn1gj8YXVlksn1DGarj2C43xOawYTmemUtUc8-M5BssqAfSsvAHXzC-QZESwKmb3Sj8oLM17awoGl6ZnZXLxl-ceg1ZRXcnH5HMAyhQrRDz9IDs7Z6XMyN-dS04nHZKGXGR9M99eME3YJxD__e0NlMyWUoMBXIs-2r-iNdk9wik804uIK2hTH6wpBQmn_RXbqc_7r2FRpVXGjAAIylehKqzlarmG5f25IEaxnLuHX3l6c_f6jeCw&strk4v" /> <link rel="stylesheet" media="all" href="//fonts.googleapis.com/css?family=Open+Sans:300,300i,400,400i,600,600i,700,700i,800,800i" /> <link rel="stylesheet" media="all" href="/sites/boynton.umn.edu/files/css/css_Vq3NJ5H93rb9W4sBjYVZ3RSShnpUpN9vSEpOb12z22o.css?delta=6&language=en&theme=boynton_health&include=eJyFkWFuwyAMhS_EwpGQSZzEk7EphqXZ6Ze2S9dWUfcH8T4_5GcTdZWqEmYErrMfVaq5-Awn1gj8YXVlksn1DGarj2C43xOawYTmemUtUc8-M5BssqAfSsvAHXzC-QZESwKmb3Sj8oLM17awoGl6ZnZXLxl-ceg1ZRXcnH5HMAyhQrRDz9IDs7Z6XMyN-dS04nHZKGXGR9M99eME3YJxD__e0NlMyWUoMBXIs-2r-iNdk9wik804uIK2hTH6wpBQmn_RXbqc_7r2FRpVXGjAAIylehKqzlarmG5f25IEaxnLuHX3l6c_f6jeCw&strk4v" /> <link rel="stylesheet" media="all" href="https://use.fontawesome.com/releases/v6.4.2/css/all.css" /> <link rel="stylesheet" media="all" href="//fonts.googleapis.com/css?family=Open+Sans:300,300i,400,400i,600,600i,700,700i" /> <script type="application/json" data-drupal-selector="drupal-settings-json">{"path":{"baseUrl":"\/","pathPrefix":"","currentPath":"node\/461","currentPathIsAdmin":false,"isFront":false,"currentLanguage":"en"},"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"gtag":{"tagId":"G-82QZXESYP7","consentMode":false,"otherIds":[],"events":[],"additionalConfigInfo":[]},"ajaxPageState":{"libraries":"eJx9UtFuwyAM_CEWPgmZxCWeDGYYmmVfP7ouaRtle0G-O2P5DrysqUpyMwLX2V4kVTX-lQwsHvhNx0L5b7WuTCmYkUF1tR4UtzqiKgRUMwpL8fJpMwOlHTpK_SraA37oSjEzOhaY7O3oSkGbpERg-kJzEV6Q-Wd7WFAlvnK6o4OVI_3rYaOvWCqNwC7BdSPdKDFLwj7VbhRMk6vg9bRn6QNYWj0Xc2P-aFLxXL47f27aHT67HRb0m9H_GwadKZogEnqgFYIN_TjiAd7h02QoEArkWe1UWgYeHszQUm6eSWecTEHtGytd0UVMzR7wsMWqVHGhCR1wD9ZSomq0ZSyXPsfulZulB0-p9gxOde3Pzv0JEZPRVSvG-3drMTlFKONsR-3fhXyBst7pfcxto2-zJS3W","theme":"boynton_health","theme_token":null},"ajaxTrustedUrl":[],"responsive_menu":{"position":"left","theme":"theme-dark","pagedim":"pagedim","modifyViewport":true,"use_bootstrap":false,"breakpoint":"(min-width: 60em)","drag":false,"pageWrapper":false},"colorbox":{"transition":"elastic","speed":350,"opacity":0.84999999999999998,"slideshow":false,"slideshowAuto":true,"slideshowSpeed":2500,"slideshowStart":"start slideshow","slideshowStop":"stop slideshow","current":"{current} of {total}","previous":"\u00ab Prev","next":"Next \u00bb","close":"Close","overlayClose":true,"returnFocus":true,"maxWidth":"98%","maxHeight":"98%","initialWidth":"100%","initialHeight":"250","fixed":true,"scrolling":true,"mobiledetect":true,"mobiledevicewidth":"480px"},"superfish":{"superfish-main":{"id":"superfish-main","sf":{"animation":{"opacity":"show","height":"show"},"speed":"fast","dropShadows":false},"plugins":{"touchscreen":{"behaviour":"1","mode":"always_active"},"smallscreen":{"mode":"window_width","title":"Main navigation"},"supposition":true,"supersubs":true}}},"umn_search":{"cx":"002834015805923805805:c-0k--9bdkk","placeholder_text":null},"sitewideAlert":{"refreshInterval":15000,"automaticRefresh":false},"ajax":[],"user":{"uid":0,"permissionsHash":"226a7fbbfe39e6444be1973a86b2316fc012f4a5ec72dd24455adb5b35f68ab8"}}</script> <script src="/sites/boynton.umn.edu/files/js/js_rPRjl_wNEWbujdqaXo0LyapaJo8AAa0xeM8XcsQ4_Lc.js?scope=header&delta=0&language=en&theme=boynton_health&include=eJxtTlsOwyAMuxAbR0IpTSFTSBChj91-TNM6qdqP5YdsedKndJWQEbhnn1gn4JvFRrWbi8raJj18ZSA5ZSBhEvQX_cuNSmUMrDD7N7hFeUfm6_7X3rB1isBBYHNJNY1yh-TTgKu-wwMOZ9RxpxkD8Oh6EurO1optIcv-ZCHr2CbpKP9zK8A87iCKW4sEQ2gx-2jjPU0N2vNjn9WCsr4AHb96sQ&v=10.4.3"></script> <script src="/modules/contrib/google_tag/js/gtag.js?strk4v"></script> </head> <body class="no-sidebars fixed-width not-front path-node page-node-type-page"> <div class="page-wrapper"> <div id="skip"> <a class="visually-hidden focusable skip-link" href="#content"> Skip to main content </a> </div> <div data-sitewide-alert></div> <!-- Begin UMN Header --> <header id="mandatory-header-wrapper" class="umnhf-campus-tc dtd umnhf-background-maroon dropdown no-links" role="banner"> <div class="umnhf" id="umnhf-h"> <div class="umnhf" id="umnhf-h-mast"> <a class="umnhf" id="umnhf-h-wm" href="https://twin-cities.umn.edu"><span>Go to the U of M home page</span></a> <ul class="umnhf" id="umnhf-h-ql" role="presentation"> <li class="umnhf" id="umnhf-h-onestop"><a href="https://onestop.umn.edu">One Stop</a></li> <li class="umnhf" id="umnhf-h-myu"><a href="http://www.myu.umn.edu">MyU<span></span>: For Students, Faculty, and Staff</a></li> </ul> <!-- Button below is for dropdown toggle, only visible on mobile screens. If using a non-dropdown version you can delete this tag --> <button class="umnhf" id="umnhf-m-search" href="#" title="toggle search field">Search</button> </div> <div class="umn-search-form umn-search-form--with-placeholder"> <div class="gcse-searchbox-only" ></div> </div> </div> </header> <!-- End UMN Header --> <div class="dialog-off-canvas-main-canvas" data-off-canvas-main-canvas> <div role="document" class="page"> <div class="audience-menu"> <div class="region region-audience-menu"> <div id="block-audiencemenu-2" data-block-plugin-id="menu_block:audience-menu" class="block block-menu-block block-menu-blockaudience-menu"> <ul class="vertical-nav-js menu"> <li class="menu-item" > <a href="/covid-19" data-drupal-link-system-path="node/436">COVID-19</a> </li> <li class="menu-item" > <a href="/faculty-staff" data-drupal-link-system-path="node/321">Staff</a> </li> <li class="menu-item" > <a href="/international-students" data-drupal-link-system-path="node/316">International students</a> </li> <li class="menu-item" > <a href="/students" data-drupal-link-system-path="node/296">Students</a> </li> <li class="menu-item" > <a href="https://boynton.umn.edu/appointments" title="How to get all kinds of appointments">Make an Appointment</a> </li> <li class="menu-item patient-portal" > <a href="https://myboynton.bhs.umn.edu/login_dualauthentication.aspx" item="patient-portal">Patient Portal</a> </li> </ul> </div> </div> </div> <section class="site-identity"> <div class="region region-identity"> <header class="folwell-identity"> <div class="sitename"> <div data-block-plugin-id="system_branding_block" class="block block-system block-system-branding-block"> <a href="/" rel="home" class="site-logo"> <img src="/sites/boynton.umn.edu/files/BoyntonHealth-Website-Logo-TakingCareOfU_1.jpg" alt="Home" /> </a> </div> </header> <div id="block-responsivemenumobileicon" data-block-plugin-id="responsive_menu_toggle" class="responsive-menu-toggle-wrapper responsive-menu-toggle block block-responsive-menu block-responsive-menu-toggle"> <a id="toggle-icon" class="toggle responsive-menu-toggle-icon" title="Menu" href="#off-canvas"> <span class="icon"></span><span class="label"></span> </a> </div> </div> </section> <header id="site-header"> <div class="clearfix navigation"> <div class="region region-header"> <div id="block-mainnavigation" data-block-plugin-id="superfish:main" class="block block-superfish block-superfishmain"> <ul id="superfish-main" class="menu sf-menu sf-main sf-horizontal sf-style-none"> <li id="main-menu-link-content6181a143-e3e5-4c0f-a422-ffc412ae9afd" class="sf-depth-1 menuparent"><a href="/" class="sf-depth-1 menuparent" aria-haspopup="true" aria-expanded="false">About</a><ul><li id="main-menu-link-content06bc75e7-ad7c-4903-966f-6b2d9ac7daae" class="sf-depth-2 sf-no-children"><a href="/why-choose-boynton" class="sf-depth-2">Mission, Vision, and Values</a></li><li id="main-menu-link-content5dbcff1f-1e74-4397-87a8-932a983dac9f" class="sf-depth-2 sf-no-children"><a href="/directory" class="sf-depth-2">Staff Directory</a></li><li id="main-menu-link-content6b63dda6-a727-452c-8ffd-476b9b1efcb2" class="sf-depth-2 sf-no-children"><a href="/locations" class="sf-depth-2">Locations & Hours</a></li><li id="main-menu-link-content55ac3a88-aa88-42fd-a794-23beb3fc34ae" class="sf-depth-2 sf-no-children"><a href="/shac" class="sf-depth-2">Student Health Advisory Committee</a></li></ul></li><li id="main-menu-link-contentfc3b56f7-8bc8-48fc-af76-3e237d18672a" class="sf-depth-1 menuparent"><a href="/" class="sf-depth-1 menuparent" aria-haspopup="true" aria-expanded="false">Medical Care</a><ul><li id="main-menu-link-content69dd43e4-ce84-4553-9736-c9c19abed079" class="sf-depth-2 sf-no-children"><a href="/myboynton" class="sf-depth-2">MyBoynton Patient Portal</a></li><li id="main-menu-link-content91a182af-3889-4a4f-872d-55dc22149c63" class="sf-depth-2 sf-no-children"><a href="/appointments" class="sf-depth-2">Make an Appointment</a></li><li id="main-menu-link-content11e0924b-83d7-4e7e-b204-8751dc546c70" class="sf-depth-2 menuparent"><a href="/services" class="sf-depth-2 menuparent" aria-haspopup="true" aria-expanded="false" tabindex="-1">Services</a><ul><li id="main-menu-link-contentaf819354-45d3-475e-a795-a345bcca30b7" class="sf-depth-3 sf-no-children"><a href="/eyecare" class="sf-depth-3">Eye Clinic & Optical Shop</a></li><li id="main-menu-link-content704bfbd9-f187-4691-978f-b21f373cd53d" class="sf-depth-3 sf-no-children"><a href="/services/pharmacy" class="sf-depth-3">Pharmacy</a></li><li id="main-menu-link-content093b3be5-b305-4e0f-b076-ed2644886400" class="sf-depth-3 sf-no-children"><a href="/dental" class="sf-depth-3">Dental</a></li><li id="main-menu-link-content32ece47f-3a37-4c35-9221-99d2687d6243" class="sf-depth-3 sf-no-children"><a href="/physical-therapy" class="sf-depth-3">Physical Therapy</a></li><li id="main-menu-link-content901e51fb-7d6b-423c-9098-476cb35e9d3d" class="sf-depth-3 sf-no-children"><a href="/services/travel-clinic" class="sf-depth-3">Travel Clinic</a></li><li id="main-menu-link-content44fd5e9a-2ec4-4f8c-ac42-f236620e59a5" class="sf-depth-3 sf-no-children"><a href="/services/sti-testing" class="sf-depth-3">STI Testing</a></li><li id="main-menu-link-contentf04c9ab5-5266-4500-8118-b5898c170fb9" class="sf-depth-3 sf-no-children"><a href="/health-screening" class="sf-depth-3">Biometric Health Screenings</a></li><li id="main-menu-link-contentea59421c-434d-4f46-9bcc-45df19d2b2a4" class="sf-depth-3 sf-no-children"><a href="/gynecology" class="sf-depth-3">Gynecology</a></li><li id="main-menu-link-content1afb446c-04c8-4162-a97e-6e3ef558c615" class="sf-depth-3 sf-no-children"><a href="/services/nutrition" class="sf-depth-3">Nutrition Services</a></li><li id="main-menu-link-contentb29679c0-bb7d-4462-af8a-2c3de94d52dc" class="sf-depth-3 sf-no-children"><a href="/gendercare" class="sf-depth-3">Gender Care</a></li></ul></li><li id="main-menu-link-contentc56eeb1c-15d3-4b59-9436-5aeb0e5dd593" class="sf-depth-2 sf-no-children"><a href="/services/urgent-care" class="sf-depth-2">Urgent Care </a></li><li id="main-menu-link-content1a3b559f-1ad7-41ea-82e6-655bc4d8bf45" class="sf-depth-2 sf-no-children"><a href="/services/primary-care" class="sf-depth-2">Primary Care</a></li><li id="main-menu-link-contentf340899a-9ad1-49d5-86dd-d67ee3a10080" class="sf-depth-2 sf-no-children"><a href="/after-hours-care" class="sf-depth-2">After Hours Care</a></li><li id="main-menu-link-content85366d43-f93e-4b33-9be3-27baecbdfb21" class="sf-depth-2 sf-no-children"><a href="https://boynton.umn.edu/gopher-quick-clinic" title=" Gopher Quick Clinic" class="sf-depth-2 sf-external"> Gopher Quick Clinic</a></li><li id="main-menu-link-content2790c5ff-ee13-41c9-8d0a-031327a54169" class="sf-depth-2 sf-no-children"><a href="/nurse-line" class="sf-depth-2">Nurse Line</a></li><li id="main-menu-link-contentf7b68f2d-f57e-4a30-9a0f-3cb7f6e80b1b" class="sf-depth-2 sf-no-children"><a href="https://boynton.umn.edu/appointments#Telehealth" class="sf-depth-2 sf-external">Telehealth</a></li></ul></li><li id="main-menu-link-contentd79c8876-03ec-406c-bed4-ba7361142b2b" class="sf-depth-1 menuparent"><a href="/" class="sf-depth-1 menuparent" aria-haspopup="true" aria-expanded="false">Mental Health & Counseling</a><ul><li id="main-menu-link-content21d7270b-0d5a-416f-9643-2f76778e2e9f" class="sf-depth-2 sf-no-children"><a href="/services/mental-health" class="sf-depth-2">Boynton Mental Health & Counseling</a></li><li id="main-menu-link-content48cf99c2-53f9-49cc-bb6c-9ba4422e614c" class="sf-depth-2 sf-no-children"><a href="https://counseling.umn.edu" class="sf-depth-2 sf-external">Student Counseling Services (SCS)</a></li><li id="main-menu-link-content4a3aaf70-bf7f-4e24-8e22-76b36128e293" class="sf-depth-2 sf-no-children"><a href="/services/mental-health/alcohol-substance-use" class="sf-depth-2">Substance Use & Recovery</a></li><li id="main-menu-link-content478b855f-fe42-4638-b55b-dcdf13bda29d" class="sf-depth-2 sf-no-children"><a href="/services/eating-disorders" class="sf-depth-2">Eating Disorders</a></li><li id="main-menu-link-content53622df3-eebe-43df-b598-656bd443a4fc" class="sf-depth-2 sf-no-children"><a href="https://mentalhealth.umn.edu" class="sf-depth-2 sf-external">Mental Health Tool</a></li><li id="main-menu-link-content66cfaa44-8659-4fc3-8eaa-6ccfd571a237" class="sf-depth-2 sf-no-children"><a href="/services/mental-health/training" class="sf-depth-2">Mental Health Training</a></li></ul></li><li id="main-menu-link-content4f400145-98be-4bd4-b1a3-302915f15acf" class="sf-depth-1 menuparent"><a href="/" class="sf-depth-1 menuparent" aria-haspopup="true" aria-expanded="false">On Campus</a><ul><li id="main-menu-link-content5a7f0163-a6c0-4237-82c4-ea816bf03b4f" class="sf-depth-2 sf-no-children"><a href="/gopher-chauffeur" class="sf-depth-2">Gopher Chauffeur</a></li><li id="main-menu-link-content5635fd06-5066-4f6b-80ee-109fbb992fae" class="sf-depth-2 sf-no-children"><a href="/paws" class="sf-depth-2">Pet Away Worry & Stress (PAWS)</a></li><li id="main-menu-link-contenta64454a1-d0a3-440b-bd07-dc6547d39ece" class="sf-depth-2 sf-no-children"><a href="/food-pantry" class="sf-depth-2">Nutritious U Food Pantry</a></li><li id="main-menu-link-content6ff86616-1aa5-4c1d-b1dd-77823d792f97" class="sf-depth-2 sf-no-children"><a href="/roc" class="sf-depth-2">Recovery on Campus (ROC)</a></li><li id="main-menu-link-contentc6f6999e-bdfe-444c-9e89-f575a608c487" class="sf-depth-2 sf-no-children"><a href="/college-student-health-survey" class="sf-depth-2">College Student Health Survey </a></li><li id="main-menu-link-content01c97c42-6328-4d7c-96d1-1fef74857dd6" class="sf-depth-2 sf-no-children"><a href="/safersex101" class="sf-depth-2">Safer Sex 101</a></li><li id="main-menu-link-contenta1a54c83-75ff-4743-b550-98f02ca11658" class="sf-depth-2 sf-no-children"><a href="/health-advocates" class="sf-depth-2">Health Advocates</a></li><li id="main-menu-link-content363f4fed-e934-40ef-ace0-9f646ea2503b" class="sf-depth-2 sf-no-children"><a href="/campus/naloxone-locations" class="sf-depth-2">Naloxone Locations</a></li></ul></li><li id="main-menu-link-content790abf11-e1a8-4b88-9c58-0377e87dc421" class="sf-depth-1 menuparent"><a href="/services/immunization-vaccines" class="sf-depth-1 menuparent" aria-haspopup="true" aria-expanded="false">Vaccinations</a><ul><li id="main-menu-link-contentcad0ea82-4c5c-4bcb-828a-19e3fce9e0cd" class="sf-depth-2 sf-no-children"><a href="/immunization-vaccines" class="sf-depth-2">Vaccination Options</a></li><li id="main-menu-link-content19864742-e4e0-4f49-8eec-08ceddb1a6cf" class="sf-depth-2 sf-no-children"><a href="/registration-holds-immunization-requirements" class="sf-depth-2">Registration Holds & Vaccine Requirements</a></li><li id="main-menu-link-content2612cad9-51b4-4b21-a8ef-e2cc25609ef7" class="sf-depth-2 sf-no-children"><a href="/covid-19" class="sf-depth-2">COVID-19</a></li></ul></li><li id="main-menu-link-contenta879b472-e426-4eb9-949f-03fac1547657" class="sf-depth-1 menuparent"><a href="/" class="sf-depth-1 menuparent" aria-haspopup="true" aria-expanded="false">Billing & Insurance</a><ul><li id="main-menu-link-content8e29ca9e-4168-4421-9b86-58bb70a28395" class="sf-depth-2 sf-no-children"><a href="/billing" class="sf-depth-2">Billing</a></li><li id="main-menu-link-content13995341-3505-4483-b290-ea702d3180a8" class="sf-depth-2 sf-no-children"><a href="/health-insurance" class="sf-depth-2">Health Insurance</a></li><li id="main-menu-link-contentbb3e711d-6236-4c2c-b6c2-540e2390158e" class="sf-depth-2 sf-no-children"><a href="/student-services-fee" class="sf-depth-2">Student Services Fee</a></li></ul></li><li id="main-menu-link-content9f35e7bc-53fa-40d3-a7a5-72200ce8d5df" class="active-trail sf-depth-1 menuparent"><a href="/" class="sf-depth-1 menuparent" aria-haspopup="true" aria-expanded="false">Resources</a><ul><li id="main-menu-link-content074f764d-8a5d-4862-b8f8-7593d646706b" class="sf-depth-2 sf-no-children"><a href="/information/new-student-guide" class="sf-depth-2">New Student Guide</a></li><li id="main-menu-link-content00517eab-fb8c-4cc5-bcef-b5c0d163f932" class="active-trail sf-depth-2 sf-no-children"><a href="/forms-documents" class="is-active sf-depth-2">Forms & Documents</a></li><li id="main-menu-link-content9de61a7c-c06c-427b-b207-b2b9fbc476c1" class="sf-depth-2 sf-no-children"><a href="/academic-health-sciences" class="sf-depth-2">Academic Health Sciences</a></li><li id="main-menu-link-content4adc9a0c-9963-457b-8014-d707b2148d2b" class="sf-depth-2 sf-no-children"><a href="/students" class="sf-depth-2">For Students</a></li><li id="main-menu-link-contentb6cddcd9-fedf-46be-a867-a06170df09cf" class="sf-depth-2 sf-no-children"><a href="/international-students" class="sf-depth-2">For International Students</a></li><li id="main-menu-link-contentce3d112a-f835-426b-b746-93e543705e8e" class="sf-depth-2 sf-no-children"><a href="/faculty-staff" class="sf-depth-2">For Faculty & Staff</a></li><li id="main-menu-link-contentd017fe9d-d23e-4101-884b-5520fcb80238" class="sf-depth-2 sf-no-children"><a href="https://aurora.umn.edu" class="sf-depth-2 sf-external">Aurora Center</a></li></ul></li> </ul> </div> </div> </div> </header> <section id="featured"> <div class="columns"> <div class="region region-featured"> <div data-drupal-messages-fallback class="hidden"></div> </div> </div> </section> <main role="main" class="clearfix"> <a id="main-content" tabindex="-1"></a> <div class="block-page-title-block"> <h1 class="title">Forms and Documents</h1> </div> <section id="content"> <div class="region region-content"> <div id="block-boynton-health-content" data-block-plugin-id="system_main_block" class="block block-system block-system-main-block"> <article id="node-461" class="" about="/forms-documents"> <div class="field field--name-field-components field--type-entity-reference-revisions field--label-hidden field__items"> <div class="field__item"> <div class="paragraph paragraph--type--centered-components paragraph--view-mode--default"> <div class="field field--name-field-centered-component field--type-entity-reference-revisions field--label-hidden field__items"> <div class="field__item"> <div class="paragraph paragraph--type--body-copy paragraph--view-mode--default"> <div class="clearfix text-formatted field field--name-field-body-copy field--type-text-long field--label-hidden field__item"><blockquote><p>Forms and documents used at Boynton Health.</p></blockquote><h2>Medical Records and Billing Forms</h2><ul><li><a href="https://boynton.umn.edu/sites/boynton.umn.edu/files/2024-04/344F1%20Release%20of%20Information%20Form.pdf" target="_blank">Health information release form</a></li><li><a href="https://boynton.umn.edu/sites/boynton.umn.edu/files/2024-10/form_billing_information_release%20%282%29.pdf" target="_blank">Billing information release form</a></li><li><a href="/node/221" target="_blank">Immunization requirements forms and procedures</a></li><li><a href="/sites/boynton.umn.edu/files/2022-12/MIN%20BBPE%20forms%20v.12.5.2022.pdf" target="_blank">Blood borne pathogen exposure procedure and form</a></li></ul><h2>Patient Forms</h2><h3>Dental</h3><p>*These forms are fillable when downloaded to your desktop.</p><ul><li><a href="/sites/boynton.umn.edu/files/2022-07/dental_comm_consent_121420.pdf" target="_blank">Dental Communication Consent</a></li><li><a href="/sites/boynton.umn.edu/files/2022-09/Dental_MED_HX_9_2022.pdf" target="_blank">Dental Medical History</a></li><li><a href="https://boynton.umn.edu/sites/boynton.umn.edu/files/2025-03/09F2%20-%20Patient%20Consent%20to%20Treatment%20%281%29.pdf" target="_blank">Dental Patient Responsibility Statement</a></li></ul><h3>Medical</h3><ul><li><a href="/sites/boynton.umn.edu/files/2024-02/FINAL_Boynton%20Health%20Controlled%20Substance%20Agreement_2_2024.docx%20-%20Kristin%20Verhoeven.pdf" target="_blank" data-entity-type="file" data-entity-uuid="822a9f9a-cd31-450d-b456-a9780a0d3db1" data-entity-substitution="file">Controlled Substance Agreement Form</a></li><li><a href="/sites/boynton.umn.edu/files/2022-07/form-prep-agreement.pdf" target="_blank">PrEP Agreement Form</a></li><li><a href="https://cdn2.hubspot.net/hubfs/377740/Order_Forms/FRM-3006-01-c_F_CologuardTest_HCP-HTO.pdf" target="_blank">Cologuard Order Requisition Form</a></li><li><a href="https://boynton.umn.edu/sites/boynton.umn.edu/files/2023-11/Form-AHS-Immunization-update%2010.pdf" target="_blank">AHS Immunization Form</a></li></ul><h3>Mental Health</h3><ul><li><a href="/sites/boynton.umn.edu/files/2024-02/FINAL_Boynton%20Health%20Controlled%20Substance%20Agreement_2_2024.docx%20-%20Kristin%20Verhoeven.pdf" target="_blank" data-entity-type="file" data-entity-uuid="822a9f9a-cd31-450d-b456-a9780a0d3db1" data-entity-substitution="file">Controlled Substance Agreement Form</a></li><li><a href="https://onestop.umn.edu/sites/onestop.umn.edu/files/forms/OTR174_2024.pdf" target="_blank">Academic Medical/Disability Supplement Form</a></li><li><a href="https://onestop.umn.edu/sites/onestop.umn.edu/files/forms/fa924.pdf" target="_blank">Student Services Fee Assessment Request Form</a></li><li><a href="https://boynton.umn.edu/sites/boynton.umn.edu/files/2024-04/ISSS%20ROI%20Template%202024.pdf" target="_blank">ISSS Health Information Release Form</a></li><li><a href="https://boynton.umn.edu/sites/boynton.umn.edu/files/2024-04/DRC%20ROI%20Template%202024.pdf" target="_blank">DRC Health Information Release Form</a></li></ul><h2>Absence Notes</h2><p>Under the University of Minnesota's Make-up Work for Legitimate Absence Policy, Boynton Health does not provide absence notes. The policy explains what you need to do if you miss class or coursework. Learn more about the <a href="/node/301">absence note policy</a>.</p><p> </p></div> </div> </div> </div> </div> </div> </div> </article> </div> </div> </section> </main> <div class="above-footer-wrap" role="region"> <div class="region region-above-footer"> <div id="block-contactorvisitus" data-block-plugin-id="block_content:82f7c12b-2dcf-49e5-8812-d27c1897bda2" class="block block-block-content block-block-content82f7c12b-2dcf-49e5-8812-d27c1897bda2"> <h2 >Contact or visit us</h2> <div class="above-footer-block one"> <h3 class="title"> </h3> <div class="above-footer-content"> <div class="clearfix text-formatted field field--name-field-block-1-content field--type-text-long field--label-hidden field__item"><h3><a href="/node/456">Appointments</a></h3><p><br><strong>For appointments, call:<br></strong><a href="tel:612-625-3222"><strong>612-625-3222</strong></a></p><p><strong>Nurse line open 24/7:<br></strong><a href="tel:612-625-7900"><strong>612-625-7900</strong></a><strong> </strong></p><p><strong>Crisis line open 24/7:<br></strong><a href="tel:612-301-4673"><strong>612-301-4673</strong></a><strong> </strong></p><p><strong>Need after-hours care?</strong><br><a href="/node/421">See our options</a></p><p><a href="/node/1606"><strong>Parking</strong></a></p></div> </div> </div> <div class="above-footer-block two"> <h3 class="title"> </h3> <div class="above-footer-content"> <div class="clearfix text-formatted field field--name-field-block-2-content field--type-text-long field--label-hidden field__item"><h3><a href="/node/121">East Bank Clinic</a></h3> <p><br /> <strong>Get Directions:</strong><br /> <a target="_blank" href="https://www.google.com/maps/place/Boynton+Health/@44.9721954,-93.2344096,15z/data=!4m5!3m4!1s0x0:0xbe666a9f6216a69b!8m2!3d44.9721954!4d-93.2344096">410 Church St S.E.<br /> Minneapolis, MN</a><br /> <br /> <strong>Clinic Hours:</strong><br /> M, T, W, F | 8:00 am to 4:30 pm<br /> Th | 8:30 am to 4:30 pm<br /> <em>* M, T, W, F | Doors open at 7:45 am</em></p> </div> </div> </div> <div class="above-footer-block three"> <h3 class="title"> </h3> <div class="above-footer-content"> <div class="clearfix text-formatted field field--name-field-block-3-content field--type-text-long field--label-hidden field__item"><h3><a href="/node/126">St. Paul Clinic</a></h3> <p><br /> <strong>Get Directions:</strong><br /> <a target="_blank" href="https://www.google.com/maps/dir//Coffey+Hall,+1420+Eckles+Ave,+St+Paul,+MN+55108/@44.9825953,-93.2543065,13z/data=!4m9!4m8!1m0!1m5!1m1!1s0x52b32c834c6ceaff:0x29d2a1ba7f0c04de!2m2!1d-93.1853812!2d44.9838825!3e0">Coffey Hall<br /> 1420 Eckles Avenue<br /> St. Paul, MN</a><br /> <br /> <strong>Clinic Hours:</strong><br /> M, T, F | 8:00 am to 4:30 pm<br /> <em>*Closed 1:00 pm - 2:00 pm</em></p> </div> </div> </div> <div class="above-footer-block four"> <h3 class="title"> </h3> <div class="above-footer-content"> <div class="clearfix text-formatted field field--name-field-block-4-content field--type-text-long field--label-hidden field__item"><h3><a href="/node/106">West Bank Clinic</a></h3> <p><br /> <strong>Get Directions:</strong><br /> <a target="_blank" href="https://www.google.com/maps/place/O.+Meredith+Wilson+Library/@44.9709111,-93.2456857,17z/data=!3m1!4b1!4m5!3m4!1s0x52b32d41a338fe4b:0xf04cecd4029a51ad!8m2!3d44.9709073!4d-93.2434917">309 19th Ave SE<br /> Wilson Library (4th floor)<br /> Mental Health Only</a><br /> <br /> <strong>Clinic Hours:</strong><br /> M – F | 8:00 am to 4:30 pm</p> </div> </div> </div> </div> </div> </div> <footer id="site-footer" role="contentinfo"> <section class="footer-top"> <div class="region region-footer-top"> <div id="block-footer-2" data-block-plugin-id="block_content:e2a632f6-cb90-4ca8-97f1-a055e8d856ce" class="block block-block-content block-block-contente2a632f6-cb90-4ca8-97f1-a055e8d856ce"> <div class="footer-three-columns-block one"> <h2 class="title"> <div class="field field--name-field-block-1-title field--type-string field--label-hidden field__item">About Boynton Health</div> </h2> <div class="footer-three-columns-content"> <div class="clearfix text-formatted field field--name-field-block-1-content field--type-text-long field--label-hidden field__item"><p>Boynton Health serves students, faculty and staff of the University of Minnesota Twin Cities, providing comprehensive health care with a public health approach to campus well-being.<br /> </p> <ul> <li><a href="/careers">Careers</a></li> <li><a href="/node/1561">Media</a></li> <li><a href="/why-choose-boynton">About Us</a></li> <li><a href="/contact">Contact Us</a></li> <li><a href="/stories">Stories</a></li> <li><a href="/why-choose-boynton#questions">Frequently Asked Questions</a></li> <li><a href="/patient-rights-and-responsibilities">Patient Rights and Responsibilities</a></li> <li><a href="/accreditation">Accreditation</a></li> <li><a href="/compliance-and-quality-assurance">Compliance and Quality Assurance</a></li> <li><a href="https://docs.google.com/spreadsheets/u/0/d/1BI6Q7PGHCcZy_VTD_jSfRVc7aEH9E19N__nvo1UPE0g/pubhtml?urp=gmail_link&gxids=7628">Employee Portal</a></li> </ul> </div> </div> </div> <div class="footer-three-columns-block two"> <h2 class="title"> <div class="field field--name-field-block-2-title field--type-string field--label-hidden field__item">Patient Resources</div> </h2> <div class="footer-three-columns-content"> <div class="clearfix text-formatted field field--name-field-block-2-content field--type-text-long field--label-hidden field__item"><ul><li><a href="/node/431">Patient Portal</a></li><li><a href="/node/461">Forms</a></li><li><a href="/directory">Directory</a></li></ul></div> </div> </div> <div class="footer-three-columns-block three"> <h2 class="title"> <div class="field field--name-field-block-3-title field--type-string field--label-hidden field__item">Connect</div> </h2> <div class="footer-three-columns-content"> <div class="clearfix text-formatted field field--name-field-block-3-content field--type-text-long field--label-hidden field__item"><ul class="social-links"><li><a href="https://www.instagram.com/boyntonhealth"><span class="fontawesome-icon-inline"><span class="fa-instagram fab"> </span></span></a></li><li><a href="https://www.facebook.com/umn.bhs"><span class="fontawesome-icon-inline"><span class="fa-facebook fab"> </span></span></a></li><li><a href="https://twitter.com/boyntonhealth"><span class="fontawesome-icon-inline"><span class="fa-twitter fab"> </span></span></a></li><li><a href="https://www.linkedin.com/company/boyntonhealth"><span class="fontawesome-icon-inline"><span class="fa-linkedin fab"> </span></span></a></li><li><a href="https://www.youtube.com/user/BoyntonHealth/featured"><span class="fontawesome-icon-inline"><span class="fa-youtube fab"> </span></span></a></li></ul><p><strong>Email</strong><br><a href="/cdn-cgi/l/email-protection#fe9c96d38f8b9b8d8abe8b9390d09b9a8b"><span class="__cf_email__" data-cfemail="7a1812570b0f1f090e3a0f1714541f1e0f">[email protected]</span></a></p></div> </div> </div> </div> </div> </section> </footer> </div> </div> <!-- Begin UMN Footer --> <footer> <div id="umnhf-f" class="umnhf" role="contentinfo"> <div class="footer-inner"> <nav id="umnhf-f-myu"> <h3 class="umnhf-f-title visually-hidden">For Students, Faculty, and Staff</h3> <ul role="presentation"> <li><a href="http://onestop.umn.edu/">One Stop</a></li> <li><a href="https://www.myu.umn.edu/">MyU <span></span></a></li> </ul> </nav> <div class="footer-logo"></div> <small>© <span id="cdate">2025</span> Regents of the <a href="https://system.umn.edu">University of Minnesota</a>. All rights reserved. <br>The University of Minnesota is an equal opportunity educator and employer. <a href="https://privacy.umn.edu">Privacy Statement</a></small> <!-- Optional last updated link--> <!-- add time tag w datetime attr --> </div> </div> </footer> <!-- End UMN Footer --> <div class="off-canvas-wrapper"><div id="off-canvas"> <ul> <li class="menu-item--_181a143-e3e5-4c0f-a422-ffc412ae9afd menu-name--main"> <a href="/" data-drupal-link-system-path="<front>">About</a> <ul> <li class="menu-item--_6bc75e7-ad7c-4903-966f-6b2d9ac7daae menu-name--main"> <a href="/why-choose-boynton" data-drupal-link-system-path="node/571">Mission, Vision, and Values</a> </li> <li class="menu-item--_dbcff1f-1e74-4397-87a8-932a983dac9f menu-name--main"> <a href="/directory" data-drupal-link-system-path="directory">Staff Directory</a> </li> <li class="menu-item--_b63dda6-a727-452c-8ffd-476b9b1efcb2 menu-name--main"> <a href="/locations" data-drupal-link-system-path="node/91">Locations & Hours</a> </li> <li class="menu-item--_5ac3a88-aa88-42fd-a794-23beb3fc34ae menu-name--main"> <a href="/shac" data-drupal-link-system-path="node/306">Student Health Advisory Committee</a> </li> </ul> </li> <li class="menu-item--fc3b56f7-8bc8-48fc-af76-3e237d18672a menu-name--main"> <a href="/" data-drupal-link-system-path="<front>">Medical Care</a> <ul> <li class="menu-item--_9dd43e4-ce84-4553-9736-c9c19abed079 menu-name--main"> <a href="/myboynton" data-drupal-link-system-path="node/431">MyBoynton Patient Portal</a> </li> <li class="menu-item--_1a182af-3889-4a4f-872d-55dc22149c63 menu-name--main"> <a href="/appointments" data-drupal-link-system-path="node/456">Make an Appointment</a> </li> <li class="menu-item--_1e0924b-83d7-4e7e-b204-8751dc546c70 menu-name--main"> <a href="/services" data-drupal-link-system-path="node/56">Services</a> <ul> <li class="menu-item--af819354-45d3-475e-a795-a345bcca30b7 menu-name--main"> <a href="/eyecare" data-drupal-link-system-path="node/151">Eye Clinic & Optical Shop</a> </li> <li class="menu-item--_04bfbd9-f187-4691-978f-b21f373cd53d menu-name--main"> <a href="/services/pharmacy" data-drupal-link-system-path="node/206">Pharmacy</a> </li> <li class="menu-item--_93b3be5-b305-4e0f-b076-ed2644886400 menu-name--main"> <a href="/dental" data-drupal-link-system-path="node/96">Dental</a> </li> <li class="menu-item--_2ece47f-3a37-4c35-9221-99d2687d6243 menu-name--main"> <a href="/physical-therapy" data-drupal-link-system-path="node/191">Physical Therapy</a> </li> <li class="menu-item--_01e51fb-7d6b-423c-9098-476cb35e9d3d menu-name--main"> <a href="/services/travel-clinic" data-drupal-link-system-path="node/1526">Travel Clinic</a> </li> <li class="menu-item--_4fd5e9a-2ec4-4f8c-ac42-f236620e59a5 menu-name--main"> <a href="/services/sti-testing" data-drupal-link-system-path="node/196">STI Testing</a> </li> <li class="menu-item--f04c9ab5-5266-4500-8118-b5898c170fb9 menu-name--main"> <a href="/health-screening" data-drupal-link-system-path="node/326">Biometric Health Screenings</a> </li> <li class="menu-item--ea59421c-434d-4f46-9bcc-45df19d2b2a4 menu-name--main"> <a href="/gynecology" data-drupal-link-system-path="node/1486">Gynecology</a> </li> <li class="menu-item--_afb446c-04c8-4162-a97e-6e3ef558c615 menu-name--main"> <a href="/services/nutrition" data-drupal-link-system-path="node/186">Nutrition Services</a> </li> <li class="menu-item--b29679c0-bb7d-4462-af8a-2c3de94d52dc menu-name--main"> <a href="/gendercare" data-drupal-link-system-path="node/181">Gender Care</a> </li> </ul> </li> <li class="menu-item--c56eeb1c-15d3-4b59-9436-5aeb0e5dd593 menu-name--main"> <a href="/services/urgent-care" data-drupal-link-system-path="node/201">Urgent Care </a> </li> <li class="menu-item--_a3b559f-1ad7-41ea-82e6-655bc4d8bf45 menu-name--main"> <a href="/services/primary-care" data-drupal-link-system-path="node/171">Primary Care</a> </li> <li class="menu-item--f340899a-9ad1-49d5-86dd-d67ee3a10080 menu-name--main"> <a href="/after-hours-care" data-drupal-link-system-path="node/421">After Hours Care</a> </li> <li class="menu-item--_5366d43-f93e-4b33-9be3-27baecbdfb21 menu-name--main"> <a href="https://boynton.umn.edu/gopher-quick-clinic" title=" Gopher Quick Clinic"> Gopher Quick Clinic</a> </li> <li class="menu-item--_790c5ff-ee13-41c9-8d0a-031327a54169 menu-name--main"> <a href="/nurse-line" data-drupal-link-system-path="node/426">Nurse Line</a> </li> <li class="menu-item--f7b68f2d-f57e-4a30-9a0f-3cb7f6e80b1b menu-name--main"> <a href="https://boynton.umn.edu/appointments#Telehealth">Telehealth</a> </li> </ul> </li> <li class="menu-item--d79c8876-03ec-406c-bed4-ba7361142b2b menu-name--main"> <a href="/" data-drupal-link-system-path="<front>">Mental Health & Counseling</a> <ul> <li class="menu-item--_1d7270b-0d5a-416f-9643-2f76778e2e9f menu-name--main"> <a href="/services/mental-health" data-drupal-link-system-path="node/166">Boynton Mental Health & Counseling</a> </li> <li class="menu-item--_8cf99c2-53f9-49cc-bb6c-9ba4422e614c menu-name--main"> <a href="https://counseling.umn.edu">Student Counseling Services (SCS)</a> </li> <li class="menu-item--_a3aaf70-bf7f-4e24-8e22-76b36128e293 menu-name--main"> <a href="/services/mental-health/alcohol-substance-use" data-drupal-link-system-path="node/251">Substance Use & Recovery</a> </li> <li class="menu-item--_78b855f-fe42-4638-b55b-dcdf13bda29d menu-name--main"> <a href="/services/eating-disorders" data-drupal-link-system-path="node/146">Eating Disorders</a> </li> <li class="menu-item--_3622df3-eebe-43df-b598-656bd443a4fc menu-name--main"> <a href="https://mentalhealth.umn.edu">Mental Health Tool</a> </li> <li class="menu-item--_6cfaa44-8659-4fc3-8eaa-6ccfd571a237 menu-name--main"> <a href="/services/mental-health/training" data-drupal-link-system-path="node/2186">Mental Health Training</a> </li> </ul> </li> <li class="menu-item--_f400145-98be-4bd4-b1a3-302915f15acf menu-name--main"> <a href="/" data-drupal-link-system-path="<front>">On Campus</a> <ul> <li class="menu-item--_a7f0163-a6c0-4237-82c4-ea816bf03b4f menu-name--main"> <a href="/gopher-chauffeur" data-drupal-link-system-path="node/346">Gopher Chauffeur</a> </li> <li class="menu-item--_635fd06-5066-4f6b-80ee-109fbb992fae menu-name--main"> <a href="/paws" data-drupal-link-system-path="node/361">Pet Away Worry & Stress (PAWS)</a> </li> <li class="menu-item--a64454a1-d0a3-440b-bd07-dc6547d39ece menu-name--main"> <a href="/food-pantry" data-drupal-link-system-path="node/386">Nutritious U Food Pantry</a> </li> <li class="menu-item--_ff86616-1aa5-4c1d-b1dd-77823d792f97 menu-name--main"> <a href="/roc" data-drupal-link-system-path="node/406">Recovery on Campus (ROC)</a> </li> <li class="menu-item--c6f6999e-bdfe-444c-9e89-f575a608c487 menu-name--main"> <a href="/college-student-health-survey" data-drupal-link-system-path="node/416">College Student Health Survey </a> </li> <li class="menu-item--_1c97c42-6328-4d7c-96d1-1fef74857dd6 menu-name--main"> <a href="/safersex101" data-drupal-link-system-path="node/391">Safer Sex 101</a> </li> <li class="menu-item--a1a54c83-75ff-4743-b550-98f02ca11658 menu-name--main"> <a href="/health-advocates" data-drupal-link-system-path="node/396">Health Advocates</a> </li> <li class="menu-item--_63f4fed-e934-40ef-ace0-9f646ea2503b menu-name--main"> <a href="/campus/naloxone-locations" data-drupal-link-system-path="node/2591">Naloxone Locations</a> </li> </ul> </li> <li class="menu-item--_90abf11-e1a8-4b88-9c58-0377e87dc421 menu-name--main"> <a href="/services/immunization-vaccines">Vaccinations</a> <ul> <li class="menu-item--cad0ea82-4c5c-4bcb-828a-19e3fce9e0cd menu-name--main"> <a href="/immunization-vaccines" data-drupal-link-system-path="node/156">Vaccination Options</a> </li> <li class="menu-item--_9864742-e4e0-4f49-8eec-08ceddb1a6cf menu-name--main"> <a href="/registration-holds-immunization-requirements">Registration Holds & Vaccine Requirements</a> </li> <li class="menu-item--_612cad9-51b4-4b21-a8ef-e2cc25609ef7 menu-name--main"> <a href="/covid-19" data-drupal-link-system-path="node/436">COVID-19</a> </li> </ul> </li> <li class="menu-item--a879b472-e426-4eb9-949f-03fac1547657 menu-name--main"> <a href="/" data-drupal-link-system-path="<front>">Billing & Insurance</a> <ul> <li class="menu-item--_e29ca9e-4168-4421-9b86-58bb70a28395 menu-name--main"> <a href="/billing" data-drupal-link-system-path="node/276">Billing</a> </li> <li class="menu-item--_3995341-3505-4483-b290-ea702d3180a8 menu-name--main"> <a href="/health-insurance" data-drupal-link-system-path="node/286">Health Insurance</a> </li> <li class="menu-item--bb3e711d-6236-4c2c-b6c2-540e2390158e menu-name--main"> <a href="/student-services-fee" data-drupal-link-system-path="node/281">Student Services Fee</a> </li> </ul> </li> <li class="menu-item--_f35e7bc-53fa-40d3-a7a5-72200ce8d5df menu-name--main menu-item--active-trail"> <a href="/" data-drupal-link-system-path="<front>">Resources</a> <ul> <li class="menu-item--_74f764d-8a5d-4862-b8f8-7593d646706b menu-name--main"> <a href="/information/new-student-guide" data-drupal-link-system-path="node/2491">New Student Guide</a> </li> <li class="menu-item--_0517eab-fb8c-4cc5-bcef-b5c0d163f932 menu-name--main menu-item--active-trail"> <a href="/forms-documents" data-drupal-link-system-path="node/461" class="is-active" aria-current="page">Forms & Documents</a> </li> <li class="menu-item--_de61a7c-c06c-427b-b207-b2b9fbc476c1 menu-name--main"> <a href="/academic-health-sciences" data-drupal-link-system-path="node/341">Academic Health Sciences</a> </li> <li class="menu-item--_adc9a0c-9963-457b-8014-d707b2148d2b menu-name--main"> <a href="/students" data-drupal-link-system-path="node/296">For Students</a> </li> <li class="menu-item--b6cddcd9-fedf-46be-a867-a06170df09cf menu-name--main"> <a href="/international-students" data-drupal-link-system-path="node/316">For International Students</a> </li> <li class="menu-item--ce3d112a-f835-426b-b746-93e543705e8e menu-name--main"> <a href="/faculty-staff" data-drupal-link-system-path="node/321">For Faculty & Staff</a> </li> <li class="menu-item--d017fe9d-d23e-4101-884b-5520fcb80238 menu-name--main"> <a href="https://aurora.umn.edu">Aurora Center</a> </li> </ul> </li> </ul> </div></div> </div> <script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script><script src="/sites/boynton.umn.edu/files/js/js_wfI3mIN7hlYkTv_1b2uu6o9IjBH6RcpqL-nA_eiOCk0.js?scope=footer&delta=0&language=en&theme=boynton_health&include=eJxtTlsOwyAMuxAbR0IpTSFTSBChj91-TNM6qdqP5YdsedKndJWQEbhnn1gn4JvFRrWbi8raJj18ZSA5ZSBhEvQX_cuNSmUMrDD7N7hFeUfm6_7X3rB1isBBYHNJNY1yh-TTgKu-wwMOZ9RxpxkD8Oh6EurO1optIcv-ZCHr2CbpKP9zK8A87iCKW4sEQ2gx-2jjPU0N2vNjn9WCsr4AHb96sQ&v=3.7.1"></script> </body> </html>