Requirements & Forms
Please include your name and birthdate (and/or university ID number) on ALL forms/documents mailed/faxed to Student Health & Wellness. PDF format is preferred for emailed forms.
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- Health Requirements for All UI Students
- Health Information for New Students
- General Student Requirements Form (optional)
- Women's Health History Form (for yearly exams)
- Psychiatric Medical History (for new patients only)
- Release of Information Form and Important Instructions - Required for Student Health & Wellness to release your information.
- Consent to Obtain Information
- Class Excuse Policy and Form
Health Science Students
- Health Information for New Health Science Students
- Requirements for Health Science Students
- Health Science Student Requirements Form (optional)
- Hepatitis B Titre Protocol
- Health Screen Form
- TB Assessment Form (only for those with history of positive TB screening result, if not completed at SHW)
- Health Information for New International Students
- International Student Requirements Form
- World In Balance video
Minor Students (Under 18 Years)
Health Fee & Insurance
- Insurance Form - Information we need to bill any SHW charges to your insurance.
- Insurance & Billing Questions and Answers
- Health Fee Form Summer 2015