Required Forms For New Students

Every newly admitted student must complete the following forms:

1. Your Health History form

Gather your personal health history information and medication records. Complete the online health history when you arrive at UGA and before your first visit to the University Health Center. Enter the information carefully and only hit the “submit” button once.

2. Immunization forms(including the Certificate of Immunization and the Tuberculosis Screening forms, and the additional Tuberculosis Risk Assessment form if you have risk for tuberculosis)

The Certificate of Immunization and TB Screening Forms below must be printed and completed fully before you can register for classes. Your doctor must sign your Certificate of Immunization form. Please keep a copy of your immunizations for your records.

Certificate of Immunization Form
Tuberculosis (TB) Screening Form
(These forms are in PDF format. You must have Adobe Reader in order to view and print. Download Adobe Reader.)

Mail to:
Registration and Health Information
University Health Center
The University of Georgia
Athens, GA 30602-1755

Fax to:
706-542-4959 or 706-583-0777

Email to:

3. Patient Agreement form (including statements giving permission to treat you, agreement to pay charges that you may incur, and understanding of your rights to privacy and to ask questions about your care and safety)

Click here to download the Patient Agreement Form. Read it, sign it, and send it in with your immunization form.

Attention students 17 years old or younger:
Please download the Patient Agreement Form and have your parents sign to give permission for the University Health Center to provide treatment. You must mail the form to the address listed at the top right-hand corner of the form, fax to the number listed below, or bring the signed form with you before you can be seen for an appointment. Parental signature on the form is required for students under the age of 18 to be treated at UHC.

Fill out other required forms using OpenCommunicator
*Open Communicator is a secure environment for entering your information.

4. University Health Center insurance form (if applicable)

University Health Center Medical Insurance Form