Form Request
Our staff will complete forms required for your clinical or affiliate rotations. Please bring the form and all associated instructions with you when you drop the form off. The fee is $5 per form and must be paid at the time of your request. UHS accepts cash and check. Unfortunately, credit cards are not accepted.
Please allow two business days for your form to be completed. You can pick up your form and records after 2 p.m. on the second business day. Please be sure to bring a valid Jefferson or government-issued photo ID in order to retrieve your copies.