| The Medical History Questionnaire must
be completed ANNUALLY by all animal research
personnel prior to handling animals in the
research environment. If you are handling
animals, animal tissue or you have a key
to the Vivarium, you MUST submit this form.
You can review information about the requirements
and responsibilities related to the Medical
History Questionnaire by clicking on the
links below.
If you are a visitor to UCLA, please refer
to the Medical History Questionnaire Waiver
Form.
The forms are NOT available for completion
online.
To print the form you will need Adobe Acrobat
Reader version 2.1 or higher. Microsoft
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4.0 have this feature built in. This page
is best viewed in Microsoft Internet Explorer
4.0 and Netscape Communicator 4.0 or higher.
Download
Acrobat reader.
Right-click on the links above and select
"Save Target as.." to download
the Acrobat File locally.
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