Health Center

  • Main Phone: 541-346-2770

  • Main Fax: 541-346-2747

  • Lab Fax: 541-346-2736

  • Address:
    click here

Health Center Forms

Click any link below to download a form.  Forms can be submitted at the Main Reception Desk or in the drop-box outside of the 13th Street entrance.  For the convenience of our international students, we provide translations of common medical terms in Chinese (download here) and Arabic (download here).

CCare Enrollment Form
CCare Coverage Instructions

Records Release

Medical Records Release of Information

Dental Clinic Forms

Authorization for Dental Treatment Form

Immunization Forms

Measles / Mumps Immunization Certificate - U.S. Students  
Measles / Mumps Immunization Certificate - International Students

Travel Clinic Forms

Pre-Travel Worksheet
Student Travel Guidelines

Forms for Students Under 18 Years Old

Billing Consent Form
Request for Waiver
UO Health Plan Enrollment - Domestic Student
UO Health Plan Enrollment - International Student