Immunization Forms
- General Population, ELS, International Immunization Requirements Form (PDF)
- Health Professions Programs Immunization Requirements Form (PDF)
General Population Exemption Forms
- General (Non-Medical) Exemption Form (PDF) (Upload this form to Bearcats Health App if you wish to request an exemption)
- Medical Exemption Form (PDF) (Upload this form to Bearcats Health App if you wish to request an exemption)
Health Sciences Exemption Form
- Exemption Form (PDF) This form is for Health Science programs only. If you have questions, please email UHSTracking@ucmail.uc.edu.
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