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  • Uconn Student Health History Form 2020

Get Uconn Student Health History Form 2020-2025

RM MUST BE SUBMITTED BY JULY 1 FOR FALL SEMESTER AND JANUARY 2 FOR SPRING SEMESTER Student Last Name: Student First Name: Student Middle Name: Pronouns: Sex Assigned at Birth: Date of Birth: Gender Identity: Net ID: Preferred Name: MM/DD/YYYY IMMUNIZATION HISTORY 1. MEASLES, MUMPS, RUBELLA (MMR) Vaccination - required of all students born after 1957 OPTION 1: OPTION 2: Measles, Mumps, Rubella (MMR) Vaccination Dose #1 Dose #2 (First dose must be given on or after your first birthday to.

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Contact support

To request a copy of reports, please contact UConn Health's Medical Records department at 860-679-2698.

Step 1: Obtain a copy of your official immunization record from you physician's office. Step 2: Go to Student Health Portal select “pending forms” and enter your immunization information. Step 3: Upload your official immunizations record OR Health History Form. pdf under 'document upload' on your Student Health Portal.

Free and confidential. Call 860-486-4700.

TO MAKE AN APPOINTMENT BY PHONE, call 1-84-GET-UCONN (1-844-388-2666).

The SHaW Pharmacy is located at the Hilda May Williams building. The pharmacists there will fill your prescriptions, provide drug information, and answer health-related questions. You can also purchase non-prescription (also called over-the-counter or OTC) medications there.

This is a mandatory fee required of all Storrs matriculated students. This fee cannot be waived.

SHaW offers, BeWell@UConn for free and confidential mental health support 24/7/365 by calling (833) 308-3040.

Email:techsupport@uconn.edu. Phone: 860-486-4357. Chat: uconn.edu.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232