Medical students must complete the Immunization Form, Preregistration Form, and OSHA Questionnaire and submit to Student Health by June 1. These forms must be submitted in person, via fax or mail. You may not send them via email. Please call the Student Health office if you have any questions or concerns. Non-compliance may prevent you from beginning classes.
The required forms are:
- Immunization form completed and signed by your health care provider. Make sure to include copies of the lab reports displaying a quantitative titer and IGRA result. Information must be recorded on Penn State forms. “See attached” for immunization records will not be accepted. All required immunizations and titers must be completed and submitted to Student Health by June 1 of your incoming year. If you have started but not yet completed your required immunizations due to recommended time intervals for vaccines, remaining vaccinations will be arranged by our Student Health office after your program start date. If you have questions about the immunization requirements, you may call our office at 717-531-5998.
- Preregistration form completed with a copy of your current insurance card attached. If you do not have insurance, you will learn more about the insurances available to you as a student at orientation.
- OHSA Respirator Medical Evaluation Questionnaire completed. All students are required to complete this questionnaire at least once during their tenure at the College of Medicine.
Fees will be incurred for not completing these requirements before June 1. The fees are as follows:
- After June 1: $50
- After June 15: $100
- After July 2: $150
Students accepted after May 5 will have five weeks from their acceptance date to complete their requirements before incurring the $50 fee. The fee increases to $100 after six weeks, and to $150 after eight weeks.
Thank you for your cooperation and prompt attention to these important documents and deadlines.
We will only accept forms and the accompanying documentation by mail or fax. Emailed forms and documentation will not be accepted.
For assistance with obtaining, reading or filling out the PDF forms that are linked from this website, contact the Office of Student Health at:
Penn State College of Medicine
Office of Student Health, HP03
PSHMG 845 Fishburn Road
Hershey, PA 17033