Information for Students Transferring to The University of Scranton
Health History Form
The purpose of the health information we require is to assist our health-care providers in giving you the most appropriate care while you are at The University of Scranton. In addition, it helps to ensure that you are properly immunized, reducing the risk to you and to our campus community of infection from vaccine-preventable illnesses.
Transfer students who have a recent physical on file at your former institution, a copy of that will be acceptable. Please complete the Authorization for Release of Medical Records form, sign it and send it to your former student health center for release of the appropriate information.
If you are a spring freshman or a transfer student who does not have a recent physical on file at your former institution, please complete the Health History form before you see your health-care provider (physician or nurse practitioner). He/she should complete the Physical Examination section, Immunization Record form and sign the Immunization form.
Please return the completed health forms in the envelope with your FORMS3 letter addressed to Student Health Services by January 22, 2014, OR forward the Authorization for Release of Medical Records to your previous institution.