Policies and forms - University Health Service

University Health Service

Office of the Provost

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
- On-Call 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 Office
- Health Promotion
  The Health Promotion Office 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

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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 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