Measles immunity verification forms
Visit the UW Measles Requirement for information and forms
Medical records forms
Read more about release of medical information and find forms; also note the processing times and costs.
Forms associated with student insurance plans
UW Student Health Insurance (SHIP)
- Find SHIP forms and booklets
- LifeWise Assurance Company is the SHIP plan administrator and insurer of this plan. All forms that you might need are available from the LifeWise website.
- Learn more about the UW Student Health Insurance Plan (SHIP)
Graduate Appointee Insurance Program (GAIP)
Hall Health forms
New Patient Forms
- Pre-registration form for new patients to Hall Health Center. Filling out this form prior to your first visit can save time.
- Women’s Health History Questionnaire for new patients to the Women’s Health clinic or those who have not been seen for more than one year.
- The Travel Planning Questionnaire is for new patients to the Travel Clinic.
Mental Health Clinic Forms
Physical Therapy Clinic Forms
Do you know whether your insurance plan covers physical therapy at Hall Health? Need information about co-pays and co-insurance? Use this worksheet to determine your coverage and how much of the cost you’ll be responsible for.
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