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HIPPA & Forms

​​​​​​​​​​​Health Insurance Portability and ​Accountability Act

​​​Santiago Canyon College Student Health & Wellness Services and the Staff is legally required to protect the privacy of your Personal Health Information (PHI). This includes information that can be used to identify you which SHWS has created or received about your past, present, or future health or condition, the provision of health care to you, or the payment for such health care. ​

For complete information on SHWS and HIPAA policy please revie​w our SCC SH​WS HIPAA POLICY. ​


During your psychological services appointment you will fill out the following forms for your visit:

  • ​​Consent for Treatment 
  • Counseling Contract
  • AUDIT - Alcohol Use Disorders Identification Test
  • Patient Health Questionnaire (PHQ-9)