Medical Forms
Medical Release Form
- Medical Records Release (PDF)
Financial Agreement, Consent to Treatment
- Consent to Treatment (PDF)
Medical Treatment of a Minor
- Minor Consent Form (PDF)
Contact Us
University Health ServicesRichard E. Lindner Center
2751 O'Varsity Way, 3rd Floor
Cincinnati, OH 45221-0010
Mail Location: 0769
Phone: 513-556-2564
Fax: 513-556-1337