Forms

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 Sciences programs* only. If you have questions, please email education@uchealth.com. 

*Health Science students in distance learning programs needing exemptions should apply for an exemption through their clinical site or program coordinator.

International Student Forms

• University of Cincinnati Clinical Assessment for Tuberculosis (PDF)

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.