In addition to filling out your contact, physician and insurance information on MyChart, there are also several medical paper forms that need to be filled out and returned to us by fax.
If a form asks for a signature, please fill out the rest of the information on your computer first, print off the form and then sign & date it. We suggest that you make 2 copies -- one for your own records and one to send to us.
The sooner that we receive your completed online information & faxed medical forms, the sooner we can begin processing your information and making sure everything will be in place when your son or daughter arrives on campus. Please do not wait till the due date to return your medical forms.
When your son/daughter arrives on campus, it is very important that you provide them with a copy of each of their insurance cards (medical, prescription, dental and/or vision) to carry with them at all times to present to Athletic Training Services, the Sports Medicine Clinic, University of Iowa Hospitals & Clinics, for medical appointments, treatments, and when picking up prescriptions at the pharmacy. Your son or daughter can be helped much faster if they can present their current & active insurance card.
Athletic Training Services
The University of Iowa
Iowa City, IA 52242
University of Iowa
Please Note: For the "UIHC Authorization for Release of Information and Payment" form below:
- If your son/daughter has turned 18 years old, they must sign the form;
- If your son/daughter has not turned 18 years old, you, his/her parents or guardians, must sign the form.
- If you sign this form for your son/daughter and they have turned 18 years of age or older or if your son/daughter signs this form and they are just 17 years of age, we will need to resend you the form to ask that you or your son/daughter resign and return it.