Files — Campus Health Services

Affordable Counseling in Kentuckiana
AlcoholEdu-Haven Troubleshooting Guide
BSL3-ABSL3 Medical Surveillance Forms
Cardinal Station Medical Records Request: to request records be sent to CHS Cardinal Station
Checklist for submitting records (freshmen)
Clinical Students Immunization Checklist
Clinical Student Immunization Tracking Form
Cold & Flu Self Care
Community Mental Health Resources
Diabetes & Diet
Eating Disorders: About More Than Food: Publication of the National Institutes of Mental Health regarding eating disorders.
Ebola FAQ
Emergency Contraceptive Pills
Fit Into College
Foreign Travel Forms
Healthcare Readiness Checklist
HepA Reg & Consent Form
HIPAA Communication Form
HIPPA Notice of Privacy Practices
How to File Claims
HSC Medical Records Request: to request records be sent to CHS HSC
Importance of HSC Immunizations
Incoming Merged Immunization Checklist and TB Questionnaire
International Insurance Waiver Requirements
Kentucky Tickborne Disease Fact Sheet
Medical Records Request: to request records from CHS
Measles
Meningitis Case FAQ
MeningitisFAQs030819_JSeditsbressoudreview.pdf
Minor Consent Form
National Immunization Awareness Month
New Patient Forms
Notice of Nondiscrimination Policy
Obtaining a copy of your insurance card
Oral Contraception Pills
Organizational Chart
Patient Rights and Responsibilites
Personal Health, Medication & Immunization Card
PrEP FAQ Sheet: FAQs for Pre-Exposure Prophylaxis for HIV
Release of Psychotherapy Records Form
Resident Immunization Tracking Form
Respirator Medical Evaluation Questionnaire - Clinical
Respirator FAQs
Respirator Fit Testing
Routine & Travel Immunization Pricing
Sexually Transmitted Infection
TB Screening Questionnaire
Tips for a Successful Doctor's Visit
UHC Claim Form
UofL Sports Medicine Physical Form
UofL TARC Service Map
Workers Comp Forms
Yoga
Yoga with live music
Self Care
Wellbeing Newsletter Check it out: Link image to Wellbeing Newsletter
Telehealth Consent Form
Provost Response to Coronavirus
Provost update on UofL response to coronavirus 1.29.20
Provost update on UofL response to coronavirus 1.31.20
Provost update on UofL response to coronavirus 2.28.20
International Travel Reporting Form
N95 Decon Program Respirator Questionnaire: Specialized OSHA respirator medical questionnaire tailored for the N95 Vaporized Hydrogen Peroxide Decontamination Program.
Requests for Emotioal Support Animal Documentation
EMPLOYEE SELF-ASSESSMENT REQUIREMENTS AND ATTESTATION
HIPAA Notification (en español)
SexuallyTransmittedInfection07292021.pdf
Point&Click Immunizations Steps: Image of Immunization Steps in the Point & Click Application -- From Dr. Bressoud
COVID Immunization Instruction: Covid Immunization Upload and Waiver Instructions - FROM Dr Bressoud
Flu Shot Instruction
2022FreshmanImmunization: New 2022 Immunization Requirements--Updated by Bailey
Volunteers of American Transgender Resource Guide
GME Tracking Form-Doc: This is a word document form
GMC Tracking Form-PDF: This tracking form in PDF format
HSC Student Immunization Tracking Form: New Student Tracking form for 2022
GME Immunization Tracking Form: New Immunization Tracking Form (GME) per Bailey 03-2023
HSC Student Immunization Tracking Form: New Immunization Tracking Form --Students (HSC) per Bailey 03-2023
2022 Freshman Immunization Requirements with Campus Health Services2.pdf
Guidance Regarding Holding Events and Monkeypox: Monkeypox gatherings events
Monkeypox Disinfection Guide: Monkeypox disinfection guide for non-healthcare settings
Monkeypox Fact Sheet
Monkeypox Social Gatherings Guide
Monkeypox Isolation Guide
Monkeypox and Safer Sex
International Insurance Waiver Requirements: International Insurance Waiver Requirements New form -- 08-11-2022
Instructions for Scheduling Vaccination Appointments in PNC
P&C portal payment instructions
HSC Student Immunization Tracking Form: New Immunization Tracking Form --Students (HSC) per Bailey 03-2023
GMEImmunizationTrackingform2023UPDATED.pdf
HSCStudentImmunizationTrackingform2023UPDATE.docx
copy_of_HSCStudentImmunizationTrackingform2023UPDATE.docx
GMEImmunizationTrackingform2023UPDATED.docx
minorconsentFillableUpdated5.8.23.pdf
Minor Consent Form Updated: New Consent Form 05/08/2023,Updated 10/05/2023, Verified: 10/10/2023
Patient Rights & Responsibilities: Patient Rights and Responsibilities information
Freshmen checklist and TB Screening: 2024 Freshman checklist and TB Screening Questionnaire
Freshman Checklist and TB Screenng: Questionnaire for 2024
2024FreshmanImmunizationCHS
Wavier Instructions: Instructions document
Sexually Transmitted Infection