University Health and Counseling Services
Ambrose Center

Forms

Forms

University Health and Counseling Services requests all incoming students fill out online health forms prior to using clinical services. To complete these forms, go to the MYUHCS Portal.

  • Login to MYUHCS with your campus assigned User Name and Password.
  • After login, select "MEDICAL FORMS" from the left column to complete the first 2 forms
  • fill out the Health History 
  • click on "Forms" and complete your immunization form

Mailing address:
University Health & Counseling Services
800 W. Main Street
Whitewater, WI 53190
UHCS Medical Records FAX: 262-472-5608
UHCS Counseling Records FAX: 262-472-1435

Forms:

Questions? Call 262-472-1300. We look forward to seeing you soon!


Disclaimer

All information on this website is written by UHCS professional staff unless otherwise noted. No data is collected on visitors to this site. Financial Support for this web site is provided by University Health & Counseling Service, Division of Student Affairs, University of Wisconsin-Whitewater. This web site does not accept advertising.


This site is not meant to replace the advice of a health care or counseling professional. You should not rely on any information on these pages, or information generated for you by this site, to replace consultations with qualified professionals regarding your own specific situation. Some links take you to a source outside of UHCS. The owners of that site, not UHCS, are responsible for the content.

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