Health clearance form 2026

1. Click ‘Get Form’ to open the health clearance form in the editor.
2. Begin by entering your personal information, including your name, UH ID, mailing address, email address, daytime phone number, and birthdate. Ensure all details are accurate for proper identification.
3. For tuberculosis clearance, provide the required dates and results of your TB skin test or chest x-ray. Make sure this information is dated within one year of the semester start date.
4. Next, complete the measles, mumps, rubella (MMR) section. Indicate proof of immunizations or provide documentation from a physician if applicable. Include dates and results as necessary.
5. Finally, ensure that a licensed medical professional completes their section with their printed name, signature, and contact information before submitting the form.

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