Hamel Health Center

Health Forms & Requirements

Health Forms and Requirements

Health Forms for New Students

Due: June 1, 2021
For: New Undergraduate and Graduate Students Only 

 

Undergraduate Student Requirements
  1. TB Questionnaire (available on Patient Portal)
  2. Health History Form (available on Patient Portal)
  3. Consent for Treatment (available on Patient Portal)
  4. Immunizations Form (download immunizations form, have your healthcare provider fill it in and upload it to the Patient Portal)
  5. Most Recent Physical (submit a copy via Patient Portal)
Graduate Student Requirements
  1. TB Questionnaire (available on Patient Portal)
  2. Health History Form (available on Patient Portal)
  3. Consent for Treatment (available on Patient Portal)
  4. Immunizations Form (download immunizations form, have your healthcare provider fill it in and upload it to the Patient Portal)
Form Assistance

If you need assistance filling in any of our forms, please contact us at 978-837-5441.