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The Office of Student HealthServices

Health Services Forms

All new (Freshman and Transfer) students are required to submit their immunization record and the Physical Examination Form to Student Health Services. 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

THIS IS A REQUIRED DOCUMENT FOR ALL NEW STUDENTS
(FRESHMAN AND TRANSFER)

Health Report and Physician's Certificate


If you have had a physical exam within the past 18 months you do NOT need to get another one.
Have your doctor fill out the form using the information on your past physical. This form includes your immunization record and must be submitted prior to registering for class.

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