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All students must complete Mandatory Health/Immunization Requirements BEFORE arriving on campus for Orientation.

All requirements will be uploaded or completed within our student health portal

Obtain immunization records (see box to the right)

Proof of the following REQUIRED NYS requirements.

  • MMR (Measles, Mumps, Rubella) Dose 1, no more than 4 days prior to student's first birthday MMR (Measles, Mumps, Rubella) 
  • MMR (Measles, Mumps, Rubella) Dose 2 , at least 28 days after the first dose
  • Meningococcal ACWY with in the last 5 years OR 2 or 3 dose series Meningococcal B OR Meningococcal Waiver 

HIGHLY Recommended Immunizations

  • Tetanus- Diphtheria- Pertussis (Td, TDAP)
  • Hepatitis A and B
  • Gardasil (HPV)
  • Varicella
Recent Physical
  • First year students within the last 12 months from arrival on campus.
  • Transfer students within the last 24 months.
  • Potential varsity athletes within 6 months of the start of your sport. Must complete additional information at Sports Medicine in the  Medical Forms section.
 Consent for Treatment 
  • Read and acknowledge the online Consent for Treatment, which explains our privacy policies and consent for treatment.
  • ​​​If you will be 17 after you arrive on campus, your parents/guardians will need to print and complete the Minor Consent Form located within Upload/Download forms. Once completed upload the minor consent to the same location.
Health History Online Form

Here you will enter your allergies, medications, personal health history as well as family history. 

TB Screening Questionnaire

All incoming students are assessed for the risk of TB (Tuberculosis) through completing the online questionnaire. The student will be emailed if further testing is required.

Insurance Information

Form to enter your current health insurance information.  

Please contact your insurance company to verify that our lab, Quest-Pittsburgh, is in your network and whether or not you are required to obtain prior authorization for labs. You will be responsible for any charges your health insurance does not cover.

HIV Testing Acknowledgement

Statement acknowledging that you understand that Student Health & Counseling offers HIV testing. 

>= 19 NYSIIS (New York State /immunization Information System) Consent

The New York State Immunization Information System (NYSIIS) is a confidential, computerized system that contains immunization records and allows authorized users access to a person’s shot record. Participation in NYSIIS is for people 19 years of age and older is voluntary, so your consent is needed. 

Where can I obtain my immunization record and physical?

• Download our Immunization Record form for your medical provider to complete. Located on the health portal under medical clearances/immunization record/download.

• Contact your primary care Doctor for a copy or print (with your name) from their health portal.

• High School - These records must contain adequate information (including actual days) for each immunization.

• Personal Immunization Records - Transfer immunization information to this form and have your MD, NP, PA, or school nurse sign the form (including actual days) .

• Local Health Departments - If primary immunizations were received at your County Health Department request a certified copy from there (including actual days) .

• Transfer Students - Obtain a copy of your immunizations from your previously attended school by getting in direct contact with the Health Service (including actual days) .

What is an Acceptable Immunization Record?

  • A copy of your immunizations (including actual dates) on an official government/school letterhead — the simplest place to obtain this may be from your most recently attended high school or college; OR
  • A copy of your immunizations (including actual dates) on physician’s letterhead with dated Doctor/Provider signature, which includes printed name, address and telephone number; OR
  • Have a blood test to confirm immunity. Please note: a copy of the lab report must be provided to Student Health Services.
  • Please note that the documentation must be in English and must have students name and date of birth