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Consent to Receive Services and Privacy Policy I hereby agree to assessment/consultation/treatment at the Farmingdale State College Health and Wellness Center, and I understand the following: n Servicesare
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Submit the completed form either online or in-person at the health and wellness center.

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A health and wellness center is a facility that provides a variety of services aimed at improving the overall health and well-being of individuals. This may include fitness programs, nutrition counseling, mental health services, and preventive care.
Individuals or organizations participating in health and wellness programs may be required to file documentation with health and wellness centers, as mandated by local regulations or as part of program enrollment.
To fill out a health and wellness center form, individuals should accurately provide personal information, health history, and details related to their health goals or needs, as specified on the form.
The purpose of a health and wellness center is to promote healthy lifestyles, provide educational resources, and support community health initiatives aimed at preventing illness and improving physical and mental well-being.
Information typically required may include personal identification data, medical history, current health conditions, fitness levels, and any specific needs related to the services being sought.
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