Forms

New Student Health Requirements Checklist

Click here for the new checklist

Health Entrance Form (for all incoming undergraduate students)

This form is required to be on file for all incoming undergraduate students, and must be submitted no later than July 15 (fall enrollment) or January 15 (spring enrollment).Failure to submit by the deadline will result in the student not being allowed to move onto campus housing or attend class.

The Health Report requires students to also submit:

  • Proof of required immunizations or waivers
  • A copy of the student’s health insurance card (front and back)

Immunization Medical or Religious Waiver

All medical exemptions must be verified with a letter from a qualified medical provider. It must specify which immunization(s) cannot be given and the specific condition that prevents the administration of the vaccine. A religious exemption is allowed if a parent or guardian submits a written statement explaining in reasonable detail that immunizations conflict with their sincere religious beliefs.

Philosophical exemptions are not allowed by law in Massachusetts, even if signed by a physician. Only medical and religious exemptions are acceptable.

(105 CMR 220.000 and M.G.L. c.76, ss. 15, 15C and 15D).

In the event of an outbreak of any of the vaccine-preventable disease on campus, students who waive immunizations are subject to being excluded from campus and classes until the period of communicability is passed, as described in the Reportable Diseases and Isolation and Quarantine Requirements (105 CMR 300.000). The College will not be responsible for any costs associated with missed classes or exclusion from housing during the period of communicability and that no refund will be made by the College.

Athletic Health Report

All students recruited to play D-II Athletics should complete the Athletic Health Form instead of the Student Health Services Health Report. For more information, please contact the Sports Medicine department at (508) 767-7238.

Meningitis Information and Waiver

The meningitis immunization is required of all students who will reside in on-campus housing.

Authorization to Disclose Health Information

Students must complete this form in order to allow Student Health Services to disclose their health information to an individual of their choosing.

Review our Privacy Practices policy.