IUPUI is Indiana's premier urban research university. The campus enrolls more than 30,000 students in 21 schools and academic units.
Health Services
Student Health
Forms
Student Health Forms can be retrieved by clicking on the following links:
- ADD/ADHD Questionairre (PDF)
- Authorization for Treatment (PDF)
- Authorization to Release Medical Information (PDF)
- Contraceptive Renewal Form (PDF)
- Demographic Information Form (PDF)
- Pap Exam Questionnaire (PDF)
- Patient Report of Medical History (PDF)
- STI Questionnaire (PDF)
- Tuberculosis Questionnaire (PDF)
- UTI Questionnaire (PDF)
Some files on this page are PDF documents and require Adobe Reader.
