Welcome to Medical Health Questionnaire Online

UCLA provides an occupational health and safety program that is consistent with federal, state and local regulations. All personnel involved in the care and use of research animals, including those in DLAM, investigator staff/students, personnel that handle animal tissues, and all PIs and faculty sponsors of Animal Research Committee (ARC) protocols (regardless of whether they handle animals), must be enrolled in the program. UCLA Policy 990, “Use of Animals in Research, Teaching, and Testing,” describes the requirement for annual submission of the Medical History Questionnaire (MHQ) for review by Occupational Health Facility(OHF) personnel. The MHQ assists the OHF personnel to identify general lab animal or animal facility related hazards in the context of an individual’s exposure risks. It is possible we will require additional medical information for your MHQ application. As such, please allow a minimum of 30 days from application submission to approval.

Please click on the “Log in,” button to submit or view your MHQ submission(s).

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Student Questions: please e-mail asheimmune@ashe.ucla.edu || Faculty & Staff Questions: please e-mail occupationalhealth@mednet.ucla.edu || Technical Questions: please e-mail: mhqsupport@mednet.ucla.edu