Healthy 'Canes Employee Clinic - Registration Form (MSOM)
Note: Non benefits eligible employees, for example, a dependent, a student, a temporary/casual worker or a contract worker, are not eligible to receive care at this clinic. I attest that I am a full time or part time benefits eligible University of Miami employee. If I am found not to be a full time or part time benefits eligible University of Miami employee, I may be billed later for the full charge of the visit (approximately $150). The flu shot is free for benefits eligible UM employees.
Please review our privacy statement relating to information we collect, choice/opt-out, and correction/updating of personal information before proceeding.
Once your form has been submitted, the information will be sent to clinic personnel and the screen will return to the registration form.
