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Health Forms

Health Forms Information for Incoming Students

Pre-Arrival Health Policy

Dickinson College requires that incoming students complete the online medical history form, complete the online TB Risk Assessment form, enter the dates from your immunization record form and provide documentation of the required immunizations.  A physical exam is optional.  
The deadline date for submitting the health forms is July 1, 2024.


Information for All Students

Patient Portal

The patient portal is for students only and is their primary source of access to the confidential health information contained in the Wellness Center’s Electronic Health Record system. No separate login is required, students will use the same credentials to sign in as they do for their Dickinson email.  Through the Patient Portal, students can request access to clinical visit summaries, their appointment and charge history, and other information in their health record.  This Patient Portal is also used as our method of confidential health communications between students and Wellness Center staff.  Due to the accessibility of protected health information in the Patient Portal, it is vitally important that students do not share their login credentials with anyone else.  If you are a parent assisting your student with the Patient Portal, please do not register on their behalf or obtain access to their confidential logon credentials. 

Please contact us if you have any questions at or 717-245-1663 and our staff will be happy to assist you.

Completing the Health Requirements

1.  Review the Health Forms Guide.  This is provided to assist you with completing the health requirements.

2.  Log in to the Patient Portal and complete the medical history, the immunization history, and TB Risk  Assessment forms.  Specific details about the tuberculosis requirement is located below.

3.  On the Immunization History Form, submit a copy of your healthcare provider's immunization record or the immunization record form.

We will accept either the immunization record from your healthcare provider or the completed immunization record form signed by your healthcare provider.  Please Note:  The immunization requirement will not be complete until we have verified the uploaded immunization information. 

Immunization Requirements Exemption 

If you are requesting a medical or religious exemption from the immunization requirements, please complete the appropriate form below and upload through the Patient Portal.

Medical Exemption from Immunization Requirements
Religious Certificate of Exemption from Immunization

COVID Vaccine Requirement

The COVID vaccine is highly recommended for all students.

Pennsylvania Meningitis Law

A valid meningitis vaccine date after the age of 16 or the signed meningitis waiver form is required in order to be compliant with this immunization requirement according to PA state law.  If you choose to waive the vaccine, you must submit the meningitis waiver form by upload to the Patient Portal.  You should only sign the waiver form after you have read Pennsylvania's Meningitis Law on the Meningitis Information page.  You will find a link to the waiver form on the bottom of this information page.  

TB Screening

All students must complete the TB Risk Assessment form through the Patient Portal.  If you have answered "yes" to any of the questions, the Healthcare Provider form must also be completed and signed by your healthcare provider and uploaded to the Patient Portal.

Submitting the Completed Health Forms

The preferable method of submitting the health forms is through the Patient Portal.  If you are having trouble with the forms or have any questions about the requirements, contact the Wellness Center by email or call (717) 245-1663 for assistance.

Important: Students who have not complied with the Pre-Admission Health Policy will not be able to directly check into their housing assignment upon arrival to campus.