Affiliate Account Request For Health Sciences Libraries

UC Health Library Registration

For UChealth.com staff only
First Name
Last Name
Please use lowercase only!
Preferred First Name/Last Name
Work Location Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
UC Health Employee Email Required

This form is only for UC Health employees. Please apply using your UC Health employee email address in this format:

firstname.lastname@uchealth.com

Do not use:

- uid#####@uchealth.com
- name@uc.edu or any email ending in uc.edu

Applications submitted with the wrong email format may not be accepted.
Email Address

Confirmation EmailProfessional Email Only- no gmail, yahoo, etc. FOR uchealth.com account holders only.
This email address is not eligible for this form.

Please use your UC Health employee email address in this format:
firstname.lastname@uchealth.com

UID addresses and @uc.edu addresses are not accepted.
Work/Office Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
M Number (if applicable) or Custom ID
6+2 (if applicable)
UC Health Work Location
Position
Are you renewing an existing account, or creating a new account?
Please list your previous account number
Do you want remote access?
Do you plan to check out physical materials
Agreement
- All materials borrowed under this agreement must be returned at the expiration of their loan period or renewed.
- Any damages from misuse or loss due to theft or neglect will result in charges to you for all damages or replacement of the material.
- Materials will be billed at their full current market value plus a processing charge.
Your submission confirms that you understand that these library privileges are for you and you only and that you will abide by the lending rules and regulations of all the University of Cincinnati Libraries.
Please verify that you are human
Prefix
RanNum
Your Affiliate Number
Affiliate Login
Should be Empty:

UC Health Library Registration