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Acknowledgement of Receipt of Notice of Privacy Practices
Consent to Treatment
Immunization Compliance
Medical Questionnaire
Notice of Privacy Practices
Policies and Procedures
Student Physical Form

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Nicholls
University Health Services

Office Location:
Betsy Cheramie Ayo Hall

Mailing Address:
P.O. Box 2054
Thibodaux, LA 70310

Phone: (985) 493-2600

Fax: (985) 493-2601

E-mail: Health Services E-mail

7:30 am to 4:30 pm

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