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Consent for treatment of a minor

Kentucky law requires students less than 18 years of age to have parental consent before University Health Service can provide treatment except in emergencies. Parents of minor students can eliminate inconvenience to underage students by:

  1. Downloading and completing the Consent to Treat Minor form (PDF, 13 KB) 
  2. Reading the Notice of Privacy Practices (PDF, 28 KB)
  3. Downloading and signing the Receipt of Notice of Privacy Practices form (PDF, 10 KB)

The Consent to Treat Minor form and Receipt of Notice of Privacy Practices should be mailed to:

University Health Service
830 South Limestone
Lexington, KY 40536-0582

Or you may fax the forms to 859-257-8708.

Please call: 859-323-5823 ext 8-3211 with questions about minor students or forms completion.