Links to Forms

Authorization for Release of Information
Health History
Smallpox Declination Form

 

Instructions For Completing the Research Related Health Assessment:

1. Go to: https://researchcompliance.web.virginia.edu/acuc/animalhandlersoncampus/data/animal_handler_profile_data.cfm (Net Badge login required)

2. Find and use the 'Click Here To Continue' link.

3. Find and use the 'Get Occupational Health Form' button.

4. Read the 'Research Related Medical Health Assessment' page and follow the prompts/instructions. 

If you are directed to schedule your occupational health evaluation appointment:.

Employees:  Call UVA-WorkMed to make an appointment for your evaluation.

Phone: 434-243-0075 or E-mail: uvaworkmed@virginia.edu

Location: 1910 Arlington Blvd.

Students: Call Student Health to make an appointment for your evaluation.
Phone: 434-924-5362

Location: 550 Brandon Avenue (Elson Student Health Building)  

 

Bring the health form with you to your appointment. 

 

Frequently asked questions regarding UVa's Research Related Medical Health Assessment Program can be found at the URL below (Net Badge login required): https://researchcompliance.web.virginia.edu/acuc/animalhandlersoncampus/data/Medical_Surveillance/faq.html