New Student Requirements

All incoming students are required to complete a health report once upon matriculation.

Students will need to have their health care provider complete and sign the required health record documents (PDF). These forms include the required immunizations, tuberculosis screening requirements and a sample physical exam form.

Information about new student requirements, and instructions for how to submit your health report, can be found on the New Students & Families page.

FORMS AND DOCUMENTATION

Medical Record Release Form (PDF) This form is to request copies of your medical records which are kept at Brandeis Health Center for 10 years.

Accessibility and Accommodation Forms:

Medical Forms for Housing Accommodation applications (PDF)

For information about dietary accommodation process, please visit our page on Food Allergies.

Health/Medical Dietary Needs process (PDF)

Form to bring to visit with Dining Services nutritionist (PDF)

Health/Medical Record Form for Dietary Needs process (PDF)

Waiver Forms

Meningococcal Waiver Form (PDF) This form is for students living on campus to provide informed declination of required Meningococcal vaccine (this is not recommended).