Downloadable Forms

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

Travel Forms

BRING TO YOUR APPOINTMENT

Gardasil Patient Assistance

Pre-Enrollment Health Requirement

Can be completed online in MyRED. Click here first for directions on how to complete the requirement online.

Permission for Use or Disclosure of Your Health Information

Dental Office

Nutrition Services