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
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"
UO is deeply committed to diversity and inclusion and affirms and actively promotes the rights of all individuals to equal opportunity in education and employment at this institution. UO does not tolerate any type of prohibited discrimination in any of its programs or activities, including employment. Further, it is required by Title IX and other applicable laws not to discriminate on the basis of sex. Questions regarding prohibited discrimination, including questions regarding Title IX, may be referred to the University of Oregon’s Title IX Coordinator or to the Office for Civil Rights. Title IX Coordinator Darci Heroy, at 541-346-8136 and firstname.lastname@example.org, located at 106 Johnson Hall, 1098 E. 13th Ave., Eugene, OR 97403. U.S. Department of Education, Western Region, Office for Civil Rights, at 206-607-1600 and email@example.com.