Health Questionnaire and Release Form

This is a multi-page form. Please note that you may save your work and return to this page to complete your entry at a later date.

If you receive error messages or have difficulty completing the forms, please try a different browser (e.g., we find that Internet Explorer is the most reliable browser over others such as Firefox).

It is essential that you let Animas Valley Institute staff know of any medical or mental health condition(s) that may affect your ability to participate in a program. Be sure to indicate any medications that you will be taking.