Policies and forms - University Health Service

Primary Care
- Primary Care
  Health Service provides confidential, high quality health care services for students and other members of the University community.
  
  See services
- PATIENTS
- CONNECT WITH UHS
- RESOURCES
  - UHSConnect
  - Pay your UHS bill
  - ———–
  - RESOURCES FOR UHS PROVIDERS
Occupational Health
- Occupational Health
  The University Health Service works to improve the health and safety of the University community through a variety of occupational health services provided to employees and departments that are non-hospital based.
  
  Learn more
- Locations & Hours
- RESOURCES
Counseling Center
- Counseling Center
  The Counseling Center provides assessments and treatment plans to members of the University of Rochester community.
  
  Get started
- ABOUT US
  - Our Staff
  - Concerns and Praise
- SERVICES
- RESOURCES
Health Promotion
- Health Promotion
  Health Promotion leads campus-wide health promotion action to advance a culture of well-being, cultivate student flourishing, and positively influence student health.
  
  Learn more
- ABOUT US
- STUDENT WELL-BEING
- CAMPUS WELL-BEING

Resources

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Policies

Addressing Patient Concerns

Amend Protected Health Information

Confidentiality and Patient Rights

Evaluation and Treatment for ADHD

Health Requirements for Entering Students

Immunization & Medical Record Requests

Notice of Privacy Practices – English

Notice of Privacy Practices – Espanol

Sensitive Exam Policy

Telemedicine Services

Forms

Application Form for Domestic Partners

Controlled Medication Agreement

Health Requirements for Entering Students

Hepatitis B Vaccine Declination Form

Health Profession Student Flu Declination Form

Influenza (Flu) High Dose Vaccine Consent Form 2023

Influenza (Flu) Vaccine Consent Form 2023

Influenza (Flu) Vaccine Declination Form 2026

Influenza (Flu) Vaccine 2021-22 Flu Vaccine Information Statement (VIS)

NYS Health Care Proxy

Permission to Treat – Under 18

Preventive Care Physical, ESTABLISHED Patient

Preventive Care Physical, INITIAL Patient

Rabies Vaccine Declination Form

Respirator Education Information

Respirator Medical Evaluation Questionnaire

Request for Amendment/Correction of Protected Health Information

Request for temporary or permanent closer-in parking or student disability transportation

Smallpox Vaccine Declination Form

Telemedicine Consent Form