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• Telephone: (023) 8055 7531

• Menu
• Home
• Secure login
• Telephone: (023) 8055 7531

Highfield Health and the University Health Service have now merged. Find out more.

Forms

Please find below links to all of our commonly used forms.

To make a payment, please visit this page.

Links

Repeat medication
Order medication online
Secure online account login
Repeat medication order form

Repeat contraception
Re-order combined contraception questionaire
Re-order progestogen-only contraception questionaire
Re-order depot contraception questionaire
Re-order implant contraception questionaire

Sick notes, letters & medical reports
Medical evidence for university, special considerations & enabling report request form
University self certification form

Registration
Online registration
Registration form

Travel
Fit to fly certificate (PDF)
Travel clinic form (PDF)
Travel clinic form (Word)

Change address
Change address online
Change of address form

Medical records administration
Request a copy of your medical records (subject access request)
Request a copy of your vaccination/immunisation history (subject access request)
Upload your records request forms & data

Giving consent to third parties
Third-party consent form

Data sharing administration
Combined opt out form
Hampshire Health Record opt out form
Care.data opt out form
Summary care record opt out form

Complaints
Complaints form
Complaints procedure

Patient Participation Group
Patient Participation Group registration form