Medical Forms
Medical Release Form
- Medical Records Release (PDF)
Consent to Treatment, Minor Consent, and Financial Agreement
- Consent to Treatment (PDF)
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Contact Us
University Health ServicesRichard E. Lindner Center
2751 O'Varsity Way, 3rd Floor
Cincinnati, OH 45221-0010
Mail Location: 0010
Phone: 513-556-2564
Fax: 513-556-1337