Medical forms

Please print the form as directed by the medical staff, fill it in and bring it with you to your appointment.

FormDetails
Personal information (pdf 43kb) Collection of personal details and medical history so we can provide treatment
Consent for information sharing (pdf 216kb) Allows your doctor to discuss your medical condition with selected people within guidelines
Fitness to dive certificate (pdf 145kb) Pre-dive medical for prospective, entry-level scuba divers
Patient information (pdf 58kb) Provides details about the University Health Service, privacy, your responsibilities, etc
Travel questionnaire (pdf 101kb) Helps your doctor work out what vaccinations you will need to travel overseas
Vaccination and infectious disease questionnaire (pdf 95kb) For Health Science Students to participate in placements