Medical History Form

Per University Counsel, all personnel working in the HHS Vivarium Facility and the Science West Animal Facility, both paid and unpaid, are required to provide the Medical History Form.  The information requested in the medical history form about your health status will be used only to detect diseases or bodily dysfunction before you work with animals in the SVSU Laboratory facility.  This is a baseline exam that will be useful should you need to seek medical care. Your responses are considered confidential; they will be reviewed by a physician/health care provider and stored to ensure the security of your confidential information.  Follow the directions on the forms below which are mandatory.

Science West Animal Facility Medical History Form (48KB)

HHS Laboratory Animal Facilities Medical History Form (198KB)