Frequently Requested Forms

Topic	UHS Forms
Breastfeeding	Breastfeeding Support Program Registration Form (pdf)
Career counseling	Career Counseling for the General Public Information Form (pdf)
Computer workstation evaluation	Computer Workstation Assessment Form (Format: pdf, word doc , html)
Disability Management	Transitional Work Program - Supervisor's Tool Kit (Format: word doc, pdf)
Fees List	Updated fees list (7/28/09) (Format: pdf)
Hepatitis B	Hepatitis B Statement Form (pdf)
Insurance	Waiver procedure (Now available online only) Waiver Reversal Request form (Format: pdf) SHIP Enrollment Application for Students on Approved Leave or Filing Fee Status (pdf) Fees for Student Services at Tang 2008 SHIP Authorization Handout (pdf) Non-SHIP Referral Tip Sheet (pdf)
Medical Records	Details on the Health Information Release Form for transferring medical records to or from UHS or requesting a personal copy
Medical Withdrawals	Everything You Want to Know About a Medical Withdrawal
Travel Clinic appointment	Travel History Form (Format: html, pdf)
Workers' Compensation	Employer's Report of Incident (word doc) Personal Physician Pre-Designation Form (pdf) Volunteer Registration (pdf)