Health Clearances

Health Clearance Forms

Please review the instructions, fees, and timing for submitting a Health Clearance forms that you need to complete. 

How to request

1. Health Clearance Forms

  •  If you need to have health clearance forms completed by a clinical provider, please bring the forms they need completed to their appointment.

2. Education Abroad Program (EAP) Students who require a Clinician Supplemental Form (CSF) from a specialist outside the Tang Center

  • Please download and complete your portion of the Clinician Supplement to EAP Health Clearance Form.
  • Ask your specialist/provider complete and sign the form.
  • Send a message in MyUCBerkeleyHealth to your primary care team and attach a pdf of the completed form.
    • To send non-urgent questions to your primary care team: Log into MyUCBerkeleyHealth > select "Messages" then "Send a New Message" and click on "Ask your care team a question." Please allow 3 business days for a response.

Fees

There are fees associated with the health clearance process: 

  1. $15 for simple forms 
  2. $55 for complex forms (requires Clinician signature, but does not need a full physical)
  3. $150 for forms that require a full physical exam  
  4. $50 for Club Sports physicals, not IA 

For questions regarding fees, please call the Billing & Cashier Office at (510) 642-8450.

Timing

Once your request and form are reviewed our team will reach out with the next steps and timing. It may take up to 3-5 business days for a response. If you have not heard back from us within 3-5 days, please call the Billing & Cashier Office at (510) 642-8450.