Student Health Services

Health and Immunization Verification Forms

Medical forms are required of all incoming first year and transfer students and must be completed by August 1 of this year. If your physical exam is scheduled after this date, please send an email, let us know the date, and submit the complete set of forms after your exam.

A physical exam is required within 12 months prior to the start of the new academic year.

Please print forms and complete pages 1 & 2 of your Medical History and page 4 of the Certificate of Immunization (the TB screening). Your physician will review and complete the rest of the forms. Take the entire packet to your health care provider at the time of your exam. Upon completion, submit all forms and a copy of your insurance card by uploading directly to the Student Health Portal.

Health Forms Submission Deadline

Please let us know if you are unable to submit the forms before August 1, 2021 by emailing us at student.health@oberlin.edu.