Health Forms
All students registered for one credit hour or more are eligible to use the services provided by UHS, regardless of whether they enroll in the University Medical Plan or have other insurance coverage.
All students, including the Lerner School of Medicine, Cleveland Institute of Art, Cleveland Institute of Music, Ohio College of Podiatric Medicine, and the Masters Program in Anesthesia, are required to submit a Personal Information Form and Immunization Record whether or not they plan on using University Health Service for their medical needs.
Once accepted to the university, students will receive an envelope by mail with instructions on how to obtain the forms and return them to University Health Service. Those who have not received an envelope by mail can contact the admissions department of the school they will be attending. Please note: An updated New Student Medical Packet will be available online soon. You will be able to print the forms, complete them, then mail them to University Health Service.
Students enrolled in the Case School of Dentistry may be asked to send a copy of their immunizations to the school. Students also will be required to send the information to University Health Service.
If you are enrolling for the fall semester, we ask that you complete and return the forms by July 1. For the spring semester, forms should be returned by January 1.
If you have questions about the forms, please contact the following staff:
Online Forms
The New Student Packet [PDF, 1MB] is now available online. Please have the medical packet forms completed and returned by July 1 (for fall semester) or January 1 (for spring semester). Forms can be mailed to:
Case Western Reserve University
University Health Service
10900 Euclid Ave.
Cleveland, OH 44106-4901
fax: 216.368.8530