Forms

Chances are, we have the form you’re looking for.

If you can’t find the form you seek in the list below, please contact us at medicalrecords@nd.edu or at 574-631-7497. We’ll make sure you obtain the necessary paperwork.

Student medical services are confidential. In accordance with Indiana state and federal laws governing privacy, University Health Services (UHS) will not share a student’s information outside of the health care community without a student’s express permission. However, in the event of an emergency, a family member or guardian will be notified promptly if a student is in immediate danger or admitted to a hospital or other health care facility.  

Please note: In order to use our forms, you’ll need Adobe Reader.

For Notre Dame Student-Athletes:

Your Athletic Trainer will contact you with the necessary forms.