Student Health Center

Student Health Center Downloadable Forms


March 4th 2013: The submission process for the forms above is being revised for Fall 2013 admitted students. Please monitor your RIT e-mail account for details.
Form Who When
Health History and Immunization Forms
(Detailed Immunization Info can be found here)
Currently Unavailable
Combined Health History & Immunization Record Form (including Meningococcal Acknowledgement and Tubercular Info)
ALL* new students must complete this form

Students entering Fall 2013: Due by July 1st, 2013 +

Currently Unavailable
Immunization Record Form ONLY
ALL* new students must complete this form

Students entering Fall 2013: Due by July 1st, 2013 +

Currently Unavailable
Meningococcal Acknowledgement ONLY
ALL* new students must complete this form

Students entering Fall 2013: Due by July 1st, 2013 +

*Exceptions: Students taking less than 6 credit hours
+ Failure to comply may result in $200 late fine and possible deregistration from classes.

Additional Forms
Authorization for Release of Protected Health Information (PHI)
Request for Religious Exception to Immunization

 


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