Forms Library

Allergy Packet (Fill out only if you plan to continue allergy injections at the the Student Health Center)

Charlotte Walk-in Clincs & Hospitals

Confidential HIV Screening Form (Fill out if you are scheduled for HIV testing)

Health Insurance Requirements

Immunization Form

Immunization FAQs

MRSA Fact Sheet

Notice of Privacy Practices

Patient Rights and Responsibilities

Authorization for Release of Information: Authorizes the Student Health Center to obtain or release medical information to another provider or person. For current and previous UNC Charlotte students. For current and previous patients of the Student Health Center.

Health History Form: The SHC prefers that this form be filled out online.