Hall Health Primary Care Center: UW Seattle Information: (206) 685-1011 Appointments (206) 616-2495
  
   
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WHAT'S NEW
  • Health Advisory: Varicella (Chickenpox) Exposure Nov 2, 2009
    A student on campus was diagnosed with chickenpox (Varicella) on Tuesday, Nov 2. Learn what you can do if you have not had Chickenpox and may have been exposed. Last updated: 11/4/09
     
  • Seasonal Influenza Vaccine
    Seasonal influenza vaccine is now available in the Immunization Clinic. Information about vaccine types, recommendations, and billing is provided. Last updated: 11/19/09
     
  • Health Advisory: H1N1 Flu (Swine Flu)
    If you are sick with flu-like symptoms and don't know the best thing to do, please read for guidance. Additional resources about H1N1 flu and what you can do to stay healthy are included.
     
  • Health Advisory: MRSA Infections
    Hall Health has seen an increase in the number of students coming in with MRSA infections. Read how to recognize, treat, and prevent MRSA.
     
  • UW Student Insurance Offers Free HPV Vaccinations
    Free HPV vaccinations are available to female students, spouses, and domestic partners who are covered by the UW Accident and Sickness Insurance Plan.
     
  • HPV Study - Volunteers Needed
    We are looking for female volunteers between the ages of 25 and 65 to participate in a study of HPV infections in women. Participants will receive $75.
     
  • HPV Vaccine FAQs
    The immunization clinic at Hall Health Primary Care Center now has the new HPV vaccine. Read on for more information...
     
  • Especially for Students
    Learn about the many valuable health services you are eligible for as a student at UW.
     

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Home > Women's Health > Download Forms

Download Forms

Authorization Forms

Consent Forms

  • Consent Forms
    Care Agreement, Notice of Privacy Practices Acknowledgement, and Financial Agreement (last updated: 08/07)
    Adobe PDF: 320k
     

Insurance Forms

Measles Immunity Verification Form

Pre-Registration Forms