Health Information Requirements and Forms
New Student Health Information Requirements
All new students are asked to provide health information to Student Health Services. Healthcare delivery is maximized when the student’s personal health history is available for review. Continuity of care is enhanced when the student’s private physician includes Student Health Services in their treatment plan. Complete and up-to-date medical information is needed to provide safe and effective care. All records are confidential and not shared with anyone in The University system.
Student Health Services maintains health records for the duration of the student’s enrollment and seven years beyond graduation. Records older than seven years are not available or retrievable. Students are encouraged to keep a copy of their immunizations with other important personal documents in case they are needed.
Proof of health insurance is not required for matriculation at The 51做厙. Tuition fees cover all services provided to undergraduate students at Student Health Services. Graduate students must opt-in for a $65 per semester fee. The 51做厙 does not bill insurance for student visits. The student is responsible for payment for services received outside of the University (i.e., outpatient clinics, ER/hospital, laboratories). Students are encouraged to carry a copy of their insurance card and be familiar with its use in 51做厙.
To complete your Health Information Requirements, please log into your and upload/complete the following:
- Your vaccination record with proof of required vaccinations.
- Vaccination Policy: List the required vaccinations and waiver process if you seek an exemption.
- Proof of Meningitis vaccination. Pennsylvania State Law requires all students residing in a Residence Hall to receive the Meningitis vaccine. If you are declining vaccination, you must review and upload the Meningitis Information Waiver and the Immunization waiver with your medical or religious statement to your Student Health Portal.
- Complete TB Screening Questionnaire within the forms section of your student Health Portal.
- If further testing is required, please print the TB form and have your medical provider complete it. Once the TB form is completed, it must be uploaded to your student health portal, uploads section, under the Outside Medical Record Option.TB Form
- In addition, please complete these electronic forms in your online Student Health Portal:
- Complete the Health History Form (found under the forms tab)
- Enter Immunization History (found under the immunization tab). The student transcribes the dates immunizations were received into the online form.
Recommended Information: Uploading the following to your Student Heath Portal is optional but can help us better support your care.
- Upload a copy of your insurance card
- Copy of your most recent physical exam must be within 1 year of the start of the current semester. You may use our Health Evaluation Form or submit paperwork provided by your physician
Note: Records must be uploaded electronically to the Student Health Portal. Student Health Services will not accept faxed or emailed records. All documents must be legible and in English.
Follow these steps to upload documents:
- Log into your .
- Click “Upload” from the menu bar at the top of the page.
- You can choose which document you are uploading from the drop-down list, such as a freshman physical exam, immunization history, insurance card, or meningitis waiver.
- Click the Select file to see all your electronic files on your computer or smartphone.
- Click Upload.
Frequently Asked Questions
Is there a specific health evaluation/physical exam/immunization form?
Student Health Services does not require students to submit a particular form. A printout of the most recent physical exam and an up-to-date copy of the student’s immunization form from the private medical provider are acceptable. If the provider cannot supply the student with an electronic printout, the student may use our Health Evaluation Form.
The student submitted the required forms, but it still says “partial” in Forms3. What am I missing?
Staff is processing the forms as they are received. It may take up to 10 days to review and process uploads. When the student’s records are processed, the checklist is marked. Incomplete records are marked “partial”, as in “partially complete”. A secure message is sent to the students advising them of which forms they are missing. Students may click on the ‘partially complete” link in FORMS3 to access the student health portal and the secure message to find out why their forms are partially complete.
I can't have my physical exam until after July 15 - what will happen?
Students encountering scheduling difficulties may provide Student Health Services with an uploaded copy of their most recent physical exam. The student is asked to send a secure message to Student Health Services indicating when the updated information will be available. While there are no penalties for late submission, completing the forms as soon as possible is important.
Where can I fax my records?
Student Health Services cannot accept faxed or emailed records. Records must be uploaded into the electronic health records program. Occasionally, a student may encounter difficulty uploading a form. Forms may be mailed to Student Health Services if uploading is not an option. Please do not incur an additional expense by sending documents via “overnight” or “express” mail. There are no penalties for forms received shortly after the deadline. Remember, mailed forms can take up to 3 weeks to review and process.
Tip: If you cannot scan your documents, you can upload a photo instead. Access your through your smartphone or tablet and follow the prompts to upload a photo of your documents. It's a snap to do!