Forms
Below you will find a comprehensive list of all forms and documents associated with the UCF Health Center and its services.
Allergy
Athletics
Behavioral Health Clinic
COVID-19 Proof of Vaccination
Health Privacy
- Authorization to Release Protected Health Information
- Consent to Treat a Minor – See Immunization Form, section D
- Notice of Pricacy Practices
- HIPAA Privacy Request Form
- Advanced Directives
Immunizations
International Health
International Student Insurance Forms
- Florida Board of Governors Requirements
- Gallagher Student Health Benefit Flyer for International Students
- Compliance Form
- Alternative Insurance List
Insurance Forms
- Application for Florida “No-Fault” Benefits
- Medical Insurance Registration Form
- Standard Disclosure and Acknowledgement Form, Personal Injury Protection
Medical Records
Nutrition Information Intake Forms
Patient Rights and Responsibilities
- Patient Rights and Responsibilities – ENGLISH
- Patient Rights and Responsibilities – Español
- Nondiscrimination Notice