Occupational Health Forms
The following documents are in PDF format and require Adobe Reader, which is a free download.
- OHSP Initial Health Questionnaire
- Respirator Evaluation Short Form
- Hepatitis B Declination Statement
- OHS TB symptom checklist
- OHSP Animal Allergy Screening
- OHS Pregnant Things You Should Know
- TB Reading Sheet
- OSHA Respirator Medical Evaluation Questionnaire - Employee
- OSHA Respirator Medical Evaluation Questionnaire - Students
If you are a UTHSC student or employee, you may now schedule appointments, exchange messages with UHS staff, complete forms or surveys, check your financial account summary, or review/print immunizations through a secure online web-based portal using your NetID and password! You can also call (901) 448-5630 to schedule an appointment. An after hours on call providers are available to you by calling (901) 541-5654.
Monday to Friday 8:00 a.m. - 5:00 p.m. (close daily between 1:00 p.m. to 2:00 p.m.)
University Health Services
910 Madison Ave. Suite 922
Memphis, Tennessee 38163