"*" indicates required fields
Step 1 of 3
After you have completed your pre-enrollment, please complete this UHC Family Intake Form. This information will be discussed as we walk through the face to face interview process. Your responses help us serve and care for your students in a variety of ways. Because it is so vital in helping us get to know your family, you will not be able to proceed with your on site enrollment appointment until it is completed.
Please note that this intake form will take some time to complete depending on how many students you are enrolling. You can save your progress and come back to this at a later time if needed within 30 days of starting.
*All fields are required.
Print one Elementary Enrollment Packet per elementary student and bring those forms to enrollment with you. Click to download.
Print one Middle School Enrollment Packet per middle school student and bring those forms to enrollment with you. Click to download.
Print one High School Enrollment Packet per high school student and bring those forms to enrollment with you. Click to download.
Maximum number of students reached.
Forgot Password?