Health History Form - University Health Center - University of Georgia - uhs uga 2025

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The document is a health history form from the University Health Center at the University of Georgia. It collects personal health information, including past or ongoing health issues, medications, allergies, surgeries, and family medical history. The form aims to gather comprehensive health data to assist in providing appropriate medical care.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information at the top of the form, including your name, UGA number, gender, and date of birth.
In the 'Past or Ongoing Health Issues' section, check all applicable boxes to indicate any health conditions you have experienced. Be thorough to ensure accurate health assessments.
Provide details about any checked items in the comment section below that section. This is important for your healthcare provider's understanding.
List all medications you take regularly in the 'Medication' section, including dosages. This helps in managing your health effectively.
Document any allergies you have under the 'Allergies' section, specifying the medication causing the allergy and type of reaction.
Describe any significant surgeries or hospital stays along with their dates in the relevant section.
Complete the family history section as accurately as possible, noting any significant medical issues among family members.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I email the UGA Health Center?

How can I address my questions, comments or concerns to the health center? You can send us an email at contact@uhs.uga.edu and we will get it to the most appropriate staff member to address your concern. You can also contact our administrative office by calling 706-542-8715.

Can you walk into the UGA health center?

The University Health Center (UHC) services are open and ready to assist you with your needs by appointment only. Please call 706-542-1162 to schedule an appointment.

How do I submit my immunization records to Georgia Tech?

Please upload completed forms and enter immunization dates at . Please read ALL instructions below. Your records MUST meet these criteria to satisfy the requirements. GT ID#: Birth Date: Cell Phone #:

Is the UGA Health Center free for students?

Full-time students pay a mandatory fee which provides students a multitude of wellness and medical services at discounted rates. Students taking five or fewer credit hours may either pay the health fee or use the health center on a fee-for-service basis.

How to get immunization records for UGA?

Call Patient Registration and Health Information at 706-542-8617. Visit the Health Information page for information on transferring immunization records.

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How do I get my immunization records online in Georgia?

Visit the Georgia Department of Public Health website and follow the instructions on the Request for State of Georgia Official Immunization Record form to submit your request online.

How do I transfer my childs immunization records to Georgia?

For children who have vaccine records from out-of-state or out-of-country, parents should submit their vaccine records online for transfer to a Georgia form. To transfer vaccine records from out-of-state or out-of-country, please submit the requested information by clicking the button below.

How to submit immunization records to UGA?

WHERE DO I SEND THESE FORMS? Upload to UHC Patient Portal. Log in Select Immunization Upload from the left column. Upload Immunizations and TB Screening Form.