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

Student Health Records

All students (full-time, part-time, non-degree, exchange, auditing class) are required to have a completed Comprehensive New Student Health Form or Part-time Student Health Form on file in the Student Health Center prior to your arrival on campus. These forms are only required upon admission and do not need to be submitted each year. Failure to do so may result in delays on move-in day and will preclude students from class registration.

Completed health records include the following:

  • Pages 1, 2 and 7 completed by the student (demographics, emergency contacts, mental health history and HIPPA communication form)
  • Pages 3, 4 and 5 completed by a health care provider (tb risk assessment, physical examination and immunization record)
    Contact your family doctor to schedule an appointment for a physical prior to your arrival on campus and take a copy of the health form to this appointment for completion.
  • Immunization records may be obtained from:
    • family doctor
    • high school or prior college/university
    • Department of Health

The following immunizations are required for all full-time students or a Statement of Exemption from Immunization must be completed.

  • MMR (measles, mumps, rubella); 2 doses
  • Tdap/Tetanus; given within the last 10 years
  • Hepatitis B; 3 doses
  • Varicella; 2 doses or provide date/age that student had chicken pox disease
  • Meningitis (ACYW135); must be 1 dose given after age 16

The following immunizations are required for all part-time students (less than 9 credits) or a Statement of Exemption from Immunization must be completed.

  • MMR (measles, mumps, rubella); 2 doses
  • Tdap/Tetanus; given within the last 10 years
  • Varicella; 2 doses or provide date/age that student had chicken pox disease

Students going on to become full-time will be required to provide documentation for the following:

  • Hepatitis B; 3 doses
  • Meningitis (ACYW135); must be 1 dose given after age 16

All vaccines must be given according to the CDC immunization schedule

All immunization requirements/recommendations are in accordance with the Pennsylvania Department of Health, The American Academy of Pediatrics, The American College Health Association and the Advisory Committee on Immunization Practices.

Confidentiality

If a student is over 18 years of age all medical information is, by law, confidential. No information will be given to parents, friends, college administrators or professors without consent from the student.

Notice of Privacy Practices