Resources & Forms

If you are engaged in the Health Leave process, there are certain forms that are required for both leaving and returning to campus. The following forms are helpful to ensure that your Health Leave or Return process is as smooth as possible. Please be sure to review and submit the necessary documentation to your Health Leave Coordinator (HLC). For any questions or assistance with the forms, please contact vhla@usc.edu

Voluntary Health Leave of Absence Request Form

Release of Information Form

Provider Recommendation Form

Readiness to Return Form

Reflective Statement