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University policy requires that all personnel who will handle animals or animal tissues, or who will have access to any vivarium facilities, submit a Medical History Questionnaire (MHQ) to the Occupational Health Facility on an annual basis.

This form can now be completed and submitted online at UCLA MHQ (Online Medical History Questionnaire).

The new online MHQ will make completing this form easier and faster. The online system will also remind you when your form is due for renewal.

For questions regarding the online MHQ, please contact Occupational Health at (310) 825-6771.