Pre-orientation health history/immunization form

The Health history and immunization form can be completed via the Patient Portal. 

You will need to send a hard copy of your immunizations that can be attained from your health care provider, high school, or previous college. It is not necessary to send a hard copy of your health history if you've completed the online form.

Click on the following link to be directed to a printout of the health history form. Fax to 315.312.5409

Health history and immunization requirements must be fulfilled before you may register for an orientation session.

The pre-particpation sports physical exam (PDF): New NCAA Intercollegiate student-athletes (not club or intramurals) are required to have this form completed by their home health care provider before tryouts and practice.  Please fax completed form to the Mary Walker Health Center (315.312.5409)