Forms

Forms below are grouped by function. Some offer pdfs of documents which must be filled-out and signed; others collect required information on line.

 

Student Request Form (SRF)
Forms Required by Affiliate Hospitals
College of Medicine SSN-DOB Release
Statement of Academic Eligibility Form (SAEF)
PowerChart Access UIC Medical Center
Immunization & Health Certifications
CampusCare (UIC)
M1 / M2 Edelstone Locker Registration
Jesse Brown Veterans Administration Center