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Rose State College > About > Community Outreach > Dental Hygiene Clinic > Clinical Patient Paperwork

Clinical Patient Paperwork

Adult Personal and Health History Form (PDF)
Notice of Health Information Privacy Practices (PDF)
Minor Health History (PDF)

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Urgent Rose Alert:

Due to forecasted inclement weather, Rose State College will have a delayed opening at 10 AM on Thursday, December 4, 2025. Students, please check Canvas for class details.