Home > Forms
Main Phone: 541-346-2770
Main Fax: 541-346-2747
Lab Fax: 541-346-2736
Click any link below to download a form. Forms can be submitted at the Main Reception Desk or in the drop-box outside of the 13th Street entrance. For the convenience of our international students, we provide translations of common medical terms in Chinese (download here) and Arabic (download here).
CCare Enrollment Form
CCare Coverage Instructions
Medical Records Release of Information
Measles / Mumps Immunization Certificate - U.S. Students
Measles / Mumps Immunization Certificate - International Students
UHC Dental Clinic Patient Registration Form
Consent to Bill Dental Insurance
Dental History Form
Medical History Form
Student Travel Guidelines
Billing Consent Form
Request for Waiver
UO Health Plan Enrollment - Domestic Student
UO Health Plan Enrollment - International Student
University Health Center
1590 East 13th Street
Eugene, OR 97403-1232
After Hours: 541-346-2770 / press "1"
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