Medical Appointment Request Form - Transportation and Parking

Employees, including contract employees, and students are only allowed to park in designated patient areas if attending a medical appointment. Medical Appointment permits are required for students and employees parking in areas designated as patient parking while attending medical appointments.

Medical Appointment permits may be picked up the day of at the following locations:

Transportation and Parking Office (285 Manning Drive)
Dogwood Deck Security Booth (second level ramp across from Hospital)
Hospital Parking Office (building across from Women’s and Children’s Hospitals)
ACC Lot Entrance (lot attendant will issue upon request)

To request a medical appointment permit in advance, please complete the form:

Customer Information

Name:(Required)

First Last

PID Number (if available)(Required)

9-digit UNC ID (no spaces or hyphens)

Affiliation:(Required)

Mailing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Email:(Required)

Visit Information

Nature of Visit:(Required)

Frequency of Visits:(Required)

If frequency of visits is other, please elaborate:

Choose Affiliated Permit Lot(Required)

Start Date:(Required)

End Date:(Required)

Vehicle Information

License Plate #(Required)

State:(Required)

Make/Model:(Required)

Color:(Required)

Permit Delivery

Permits will be sent to the mailing address or email entered above.

Delivery Method(Required)

Email permit (print at home - allow 2 business days)

Mail permit (allow 5 business days)

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