Immunization Forms
- General Population, ELS, International Immunization Requirements Form
- Health Professions Programs Immunization Requirements Form
General Population Exemption Forms
- General (Non-Medical) Exemption Form (Upload this form to Bearcats Health App if you wish to request an exemption)
- Medical Exemption Form (Upload this form to Bearcats Health App if you wish to request an exemption)
Health Sciences Exemption Form
- Exemption Form *this form is for Health Sciences programs only. If you have questions, please contact Alex Maus (alex.maus@uchealth.com) or Deana Brown (deana.brown@uchealth.com).
International Student Forms
Medical Release Form
- Medical Records Release (PDF)
Consent to Treatment, Minor Consent, and Financial Agreement
- Consent to Treatment (PDF)
Bloodborne Pathogen Claim Form
- To access the Bloodborne Pathogen Claim Form, click here.
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Contact Us
University Health ServicesRichard E. Lindner Center
2751 O'Varsity Way, 3rd Floor
Cincinnati, OH 45221-0010
Mail Location: 0010
Phone: 513-556-2564
Fax: 513-556-1337