Online Appointment Form

Gresham-Barlow Student Health Center

Fill the form below to request an appointment. We will reach out to schedule your appointment.
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Have you been to our facility before?*

YesNo
Preferred method of contact?*

TextEmailPhone call
Which school do you attend?*

Gresham HSBarlow HSREY/FLEXSpringwater TrailOther
Phone Number
Which service do you want to make an appointment for?*
Email
do not use school email address
Reason For Visit
Choose a location
Availability
Preferred Language
Should be Empty:

Gresham-Barlow Student Health Center