Chile: Private Provider Health Clearance Instructions
The Chilean consulates have very specific requirements when it comes to the date on your health clearance. If your health clearance is done too early, it will not be accepted by the consulate. Before starting the process, please refer to the Chile-Specific Health Clearance Instructions located in your UCEAP Predeparture Requirements.
After you have reviewed the Chile-Specific Health Clearance Instructions from UCEAP, please review each of the drop down menus below to walk through the Private Provider Health Clearance Process.
1. Fill out the Confidential Health History Form, and the top portion and vaccine compliance section of the health clearance
2. Complete the required Health and Safety Course, linked in your UCEAP Portal.
3. Review the Health chapter of the Guide to Study Abroad linked in your UCEAP Portal.
4. Research medication legality if you will be traveling with prescription medication.
Students who are going through a Kaiser provider to obtain their UCEAP Health Clearance form must sign up for an appointment with their provider. Kaiser does not fill out the UCEAP Health Clearance form unless students attend an appointment with Kaiser.
Schedule an appointment with your doctor, specialists (if applicable), and a travel health clinic if recommended by your doctor. See your specialist(s) before you see your general practitioner. This appointment is to discuss medication and treatment plans during your program abroad, and to obtain your providers’ signatures indicating you are cleared to participate. We cannot waive this requirement. All information is confidential and may only be shared with UCEAP officials in an emergency. Failure to provide complete and accurate information may be grounds for non-participation in UCEAP.
- Confidential Health History Form
- Complete the Confidential Health History Form clearly and accurately before each appointment, and sign it. You must provide the completed form to each doctor and specialist who will sign your clearance. Disclosing physical and mental conditions is essential so the doctor can discuss a treatment plan for your time abroad.
- UCEAP Health Clearance Form
- Complete the top of the UCEAP Health Clearance Form with your name and complete program information (Country, Host Univ, Program Name, and Term).
- Program-specific Form
- Bring any program-specific forms with you as applicable. Please refer to the first drop-down menu of your country-specific page to determine if you have any required forms.
Please share these instructions with your healthcare provider.
1. Review the student’s Confidential Health History Form and/or health history on file. Students may have additional forms required by host university/country.
2. Consider student’s stability of medical conditions, compliance, and treatment plan if needed.
3. Discuss medication or treatment availability in the host country.
4. Consider environmental or programmatic factors that may affect chronic conditions.
5. If student is seeing a specialist, the general practitioner should review any specialist notes.
6. Sign the form under the appropriate box (general practitioner or specialist).
Attend the appointment with completed documents in hand, including any specialist clearances already received. Ask the physician to carefully follow the instructions on the front page of the UCEAP Health Clearance Form & Instructions for Private Health Care Providers.
UCEAP Health Clearance
Please refer to the Chile-Specific Health Clearance Instructions located in your UCEAP Predeparture Requirements.
Confidential Health History
Take your Confidential Health History form with you abroad for personal reference—do not submit this form to UCEAP.
If there are any changes to your health after submitting the health clearance form, you must notify UCEAP. You may be required to submit an updated health clearance or treating doctor’s letter.