Health Services Forms and Policies
Forms are due by June 15, 2017 for Fall 2017 registration and December 5, 2017 for Spring 2018 registration.
Undergraduate students: print the Undergraduate Student Health Information Form, complete the student portion (pages 1, 2 and 4), and have your physician complete page 3. If you are planning to participate in an NCAA sport, ask your physician to complete page 5 as well.
Graduate students: print the Graduate Student Health Information Form and complete pages 1, 2, and 3; your physician will need to sign page 2.
Refer to the top of the health form for detailed instructions on how to upload your completed health form, immunization record, and insurance card.
Part-time students: print the Part-Time Student Health Information Form and complete pages 1, 2, and 3. Complete this form ONLY if you wish to access EMU Health Services while you are a part-time student.
If you have questions, call (540) 432-4308 or email us at email@example.com.