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University Health Service

Forms

Here are some of the forms used in University Health Services that are available on line. For more information, contact us by e-mail or telephone.

Health History Form 

Immunization Certificate 

Application for Employment at the University Health Service 

Meningitis Compliance Form (for Office of Housing and Residence Life)

• University Health Service
• Center for Health and Well-Being
  Suites on Maple East
  901 Maple Street
  Indiana, PA 15705
• Phone: 724-357-2550
• Administration: 724-357-6475
• Fax: 724-357-6212
• health-inquiry@iup.edu

• Office Hours
• Monday through Friday
• Admin office hours are 8:00 a.m. to 4:00 p.m.
• Patient care hours are 9:00 a.m. to 4:00 p.m.
• No appointment necessary.
• All care is provided on a walk-in basis.