Skip to main content

We use cookies on this site to enhance your user experience. To accept cookies click the "Ok, I agree" button, or view our privacy statement for more information.

X

Academics
Admissions & Aid
Student Life
Athletics
Info For

Inquire Visit Apply Give

X ← Back Academics

Academic Programs

Majors, Minors & Programs
Internship Opportunities
Research Opportunities
Honors Programs
Global Education
Military Science (ROTC)

Centers of Excellence

Center for Enhanced Academic Experiences
Clean Water Institute
Humanities Research Center
Institute for Management Studies
Outdoor Leadership & Education
Warrior Coffee Project

Resources

Academic Calendar
College Catalog
Library
Registrar
IT Services
Tutoring Services
Career & Professional Development

X ← Back Admissions & Aid

Submit Your Deposit
Request Information
Apply
Applicant Portal
Visit
Virtual Tour

Apply to Lycoming

Why Lycoming?
Apply
Tuition & Cost of Attendance
Financial Aid
Scholarships
Lycoming FAQs

Information For…

First-Year Students
Transfer Students
International Students
Parents
Counselors
Accepted Students

X ← Back Student Life

Campus Life

Clubs & Organizations
Fraternity & Sorority Life
Outdoor Leadership & Education
Campus Recreation
Student Involvement
Community Service

More

Commuter Students
International Students
Student Handbook
Social Media Portal
Williamsport & the Area
Residential Life
Counseling Services
Health Services
Public Safety
Event Calendar

X ← Back Athletics

Men's Sports

Baseball
Basketball
Cross Country
Football
Golf
Lacrosse
Soccer
Swimming
Tennis
Wrestling

Women's Sports

Basketball
Cross Country
Field Hockey
Lacrosse
Soccer
Softball
Swimming
Tennis
Volleyball
Cheerleading

Resources

All-Americans
Athletic Calendar
Athletic Hall of Fame
Compliance
Facilities
Recreation Center
In the Press
Student-Athlete Advisory Committee
Staff Directory
Summer Camps

X ← Back Info For

Students & Families

myLyco
Accepted Students
Prospective Students
First-Year Students
Parents

Alumni

Alumni
Alumni Association
Alumni Events
Homecoming
Alumni & Reunion Weekend

Donors

Make a Gift
College Advancement
Donor Recognition
How to Give

About Lycoming

About Lycoming
President Kent Trachte
Fast Facts
News
Events
Offices
Community Engagement

Search Terms

Popular Links

Events
Map & Directions
Virtual Tour
Employment Opportunities
Information Regarding COVID-19

Directories

Offices & Services
Campus Directory
Faculty

Current Students

myLyco
Lyco Advisor
Email
Moodle
Manage Password

Aerial view of campus with Williamsport, the Susquehanna River and Bald Eagle Mountain as a backdrop

You are here:

Home
Health Services
Statement of Exemption from Immunization Form

Statement of Exemption from Immunization Form

Links in this section

Download the Statement of Exemption from Immunization:

Health Services

Health Services Home
Student Health Records
Health Insurance
Urgent Transport
Current Students
Contact Us

Helpful PDFs

Student Health Record Forms (PDF)
Statement of Exemption from Immunization Form (PDF)
Chinese Language Page (PDF)
Vietnamese Language Page (PDF)
Chinese Immunization Page (PDF)
Vietnamese Immunization Page (PDF)
Part-time/Non-degree Student Health Forms (PDF)
Asthma Action Plan (PDF)
Sharps Containers

Apply
Visit Lycoming
Request Info
Give
Contact Us

Academic Calendar
Alumni
Athletics
Campus Map
Campus Store
Directories
Inclement Weather
IT Services
Job Openings
Library
myLyco
Offices & Services

Links

One College Place, Williamsport, PA 17701-5192 · (570) 321-4000 · 1 (800) 345-3920

Copyright © 2024 Lycoming College · Privacy · Consumer Information