Forms
Forms
Mailing address:
University Health & Counseling Services
800 W. Main Street
Whitewater, WI 53190
UHCS Medical Records FAX: 262-472-5608
UHCS Counseling Records FAX: 262-472-1435
Forms:
- Health Services Release of Information
- Counseling Services Release of Information
- Allergy Injection Agreement
- No Show Appeal Form
- Athlete Sports Physical forms - 2 parts (as required by UWW Athletic Dept); complete Medical Questionnaire form before clinic visit and bring to visit
- Acknowledgement of Trainee Status
University Health and Counseling Services requests all incoming students fill out 5 online health forms prior to using clinical services.
- To complete these forms, go to our secure online system: https://uhcsportal.uww.edu/login_directory.aspx
- Login to MY UHCS with your campus assigned User Name and Password.
- After login, select "FORMS" from the left column to complete the 5 health forms
Got questions? Check out our web site ( http://www.uww.edu/uhcs/ ) or call 262-472-1300. We look forward to seeing you soon.
Last Updated: 02/12/16
Disclaimer
All information on this website is written by UHCS professional staff unless otherwise noted. No data is collected on visitors to this site. Financial Support for this web site is provided by University Health & Counseling Service, Division of Student Affairs, University of Wisconsin-Whitewater. This web site does not accept advertising.
This site is not meant to replace the advice of a health care or counseling professional. You should not rely on any information on these pages, or information generated for you by this site, to replace consultations with qualified professionals regarding your own specific situation. Some links take you to a source outside of UHCS. The owners of that site, not UHCS, are responsible for the content.
