Below you will find a number of forms which you may print out, fill in (forms marked with * can be filled out online), and bring into the UHC to expediate your next visit. All documents are in the .pdf format and require a .pdf reader such as Adobe Acrobat to view. For a free download of Adobe Acrobat visit the Adobe Website.
Clinical History Forms
Gardasil Patient Assistance
Pre-Enrollment Health RequirementCan be completed online in MyRED. Click here first for directions on how to complete the requirement online.
Authorizations and Insurance
- Bring to your first UHC visit of each academic year
Permission for use or disclosure of your health information
- * Authorization for Release of Information-Medical
- * Authorization for Release of Information-Dental
- * Camper Registration and Authorization Form (if you are attending a summer camp at UNL)