Dear Incoming UC Irvine Student:

Thank you for accessing the Student Health Center New Student information via the web.

Please use the blue return envelope that was included in the Student Health mailing to return the forms below.

To print the required documents, please click on the links below.

(A copy of an official immunization record may be submitted as proof of compliance with the immunization requirements. If you need to visit your health care provider to obtain any immunizations, you may download this form for your provider's use.)

(Required if student will be under 18 years of age while attending UCI)


(Adobe Acrobat Reader 7.0 or higher required)

 

Reminder:

It is important to complete and return all required forms to Student Health.

Failure to do so may result in a hold being put on your registration.

The return address is:

Student Health Center

University of California, Irvine

Irvine, CA 92697-5200

Attn: Medical Records Department