Health Forms, Records and Immunizations
Health Records | Required Immunizations
Health Forms for New Students
Please complete forms before start of classes.
All full-time students are required to complete the Health Record before their arrival on campus. In order to be seen in Student Health Services, other than on an emergency basis, the completed Health Record must be on file. Prospective students should receive these forms shortly after submitting their deposit. The forms are also accessible through this website. Part-time students and students in other graduate programs not mentioned, are welcome to use Student Health Services for a $20 per visit fee, if they have submitted a completed Health Record.
Part-time undergraduate students and students in other graduate programs are required to submit a Health Record only if they wish to access health services. Any student without a Health Record on file will be seen for emergencies only.
The Health Record is composed of student identification information, medical history, physical examination (to be completed by a physician, nurse practitioner, or physician's assistant), and immunization record. The physical exam must have been performed within the past 12 months. This information is confidential, for use by Student Health Services personnel only. Documentation of insurance information is also required.
For more information, call 215-572-2966.
In the event that the student cannot obtain documentation of immunization, the student will either have to be re-immunized or have laboratory verification of immunity. If needed, immunizations and titers can be done in Student Health Services for a reasonable fee.
- Tetanus (within the last 10 years)
- Measles, Mumps, Rubella/German Measles (MMR) (2 doses required)
- PPD (Tuberculosis screening) must be done within six months of college entrance
- Hepatitis B (3 doses required)
For an Emergency:
Dial Ext. 2999 or
To Make an
Student Health Services
450 S. Easton Road
Glenside, PA 19038
Heinz Hall, Ground Floor
215-572-2966 or ext. 2966