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The Office of Student HealthServices

Health Services Forms

All new students (Freshmen and Transfer) are required to submit their immunization record and the physical examination form to Student Health Services before attending classes. . It is preferable that you fax or email to us. Our email is hse@purchase.edu and fax (914) 251-6388. Also all new (Freshman and Transfer) students are required to fill out the Meningitis Survey. To access the survey, please login and click on 'Student': myheliotrope

REQUIRED DOCUMENTS FOR ALL NEW INCOMING STUDENTS
MMR Immunization Record (completed by health care provider or school/childhood record)

College Entrance Health History and Physical Examination
(completed by student and health care provider. A physical examination done within the past 18 months is required)


Additional forms:

Athletic Forms

For Athletic Forms please see the Purchase Athletics website and click "Inside Athletics” —> “Required Athletic Forms and Policies”
http://www.purchasecollegeathletics.com/sports/2011/7/7/GEN_0707115308.aspx

Study Abroad Travel Forms