University of Connecticut STUDENT HEALTH HISTORY FORM 2025

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TWO measles (or MMR) immunizations (one after your first birthday and one at least 28 days later), OR. Documentation of positive measles titer (blood test), OR. Documentation of date of measles disease by your health care provider on the Health History Form.
UConn Health is a healthcare system and hospital, and branch of the University of Connecticut that oversees clinical care, advanced biomedical research, and academic education in medicine.
What are the most important details in your medical history? chronic or new symptoms and conditions. past surgeries. family medical history. insurance information. current prescription and over-the counter medicines, supplements, vitamins, and any herbal remedies or complementary medicines you use. medication allergies.
To decline/waive the insurance, you must use the Health Insurance Waiver in the PeopleSoft Financial system. Instructions on where to find and complete the waiver can be found at Waiving UConn Health Insurance - Student Academics and Services - UConn Knowledge Base.
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