Filters Filter by Service - Any -AdministrationCounseling and Psychological ServicesOccupational Health ServicesHealth Promotion and Prevention Services-BASICSMedical Services-Athletic Medicine-Immunizations and Allergy Shots-Infirmary-Laboratory & Radiology-Nutrition-Physical Therapy-Sexual Health and Wellness-Travel HealthSexual Harassment/Assault Advising, Resources and Education (SHARE)Student Health Plan 2024-25 SHP Summary Guide (.docx) 2024-25 SHP Summary of Benefits and Coverage (.docx) 2024-25 Student Health Plan Document (.docx) AAF Reimbursement Request (.docx) Aetna Student Health Claim Aetna Student Health Member Request for Estimate Allergy Shot (.docx) Athletic Medicine Outside Referral Authorized Release for Information - CPS & SHARE BASICS Student Information Form (.docx) Cigna DMO Patient Charge Schedule Cigna PPO Benefits Summary Coverage Requirements for Student Health Plan Opt Out CPS Informed Consent (.docx) Exchange Scholar UHS Enrollment Form Family Medical Leave Act (FMLA) - Employee Application Family Medical Leave Act (FMLA) - Family Member Application Glossary of Health Coverage and Medical Terms Health Record Release - Medical Services Health Record Release - Occupational Health Services Incident and Injury Report International Travel-Coverage and Claims (.docx) MAVRIC Project Membership Medical Clearance Form NCAA Medical Exception Documentation Reporting Form OptumRx Formulary Reference Guide OptumRx Mail Order OptumRx Reimbursement Drug Claim Form Parental Consent for Immunizations Permission for Health Care of a Minor Request for Medical Information from Healthcare Provider SHARE Allied Member Interest Form Short Term Disability for COVID19 Diagnosis Vision Benefits Summary VSP Out-of-Network Claim Form VSP Provider Directory Workplace Injury Intake Form (eHealth) For some appointments or services, we require that you complete forms. Review the instructions on the Service's webpage to ensure you are completing all necessary forms. Our types of forms include:Webforms: to be completed and submitted securely onlineWord Docs/PDFs: to be printed out and completed (by you and/or your health care provider, etc.), then mailed, faxed or brought with you to your appointmentOnline forms: For students, to be completed through the MyUHS portal. These require you to log in using your Princeton University NetID and password. Then select "Forms" and fill out the necessary forms. For employees, to be completed through Human Resources website or your eHealth portal. These require you to log in using your Princeton University NetID and password.
