Health Background Form - DUE IMMEDIATELY

  • It also requires that all students receive information about meningococcal disease and make an informed decision about whether to receive immunization against the disease.
You cannot be registered for classes until you have fulfilled this requirement.

Health Background Form Link

Submitting Your Health Background Form

Submit the original, completed form to:

UB Student Health Center
Student Health Services
Michael Hall
3435 Main Street
Buffalo, NY 14214

Do NOT submit health forms to the School of Dental Medicine


Please contact the UB Student Health Services Office

E-mail, Confidentiality, and On-Line Medical Advice

If time is of particular concern for you, you should consider calling our office at 716-829-3316.