Matriculating Students

All incoming students must complete and send in Health Records upon matriculation.

The on-line secure patient portal will be open to new students on May 6, 2017.

Newly enrolling students arriving for the summer session must complete the online health report by June 1 and Fall admissions must complete the online health report by July 1.

We recommend you bookmark the link for future access!   www.brandeis.medicatconnect.com

https://brandeis.medicatconnect.com 

FORMS AND DOCUMENTATION

Brandies Health Center is an on-campus service to assist with meeting student health and wellness needs while at Brandeis. ALL incoming students are required to complete a health record before arrival to campus. This is used to assure safe and responsive treatment services and to assure we are meeting required Massachusetts state regulations. Health records are now completed at our secure online patient portal which will be available to newly enrolling students on May 6, 2017.

REQUIRED HEALTH RECORDS YOU WILL NEED  TO COMPLE THE ON-LINE SECURE PATIENT PORTAL Health Reporting

Immunization records (*required*)

This form lets you know what vaccines are required before you arrive to campus. You may have your provider complete and sign this form or use the official medical records your provider gives you. You will need to enter the dates of your completed immunizations in the  Secure Patient Portal and then Upload your supporting documents for validation. If you do not have your records you will need to have blood tests called titers to prove your immunity. These laboratory reports must be uploaded into the secure patient portal.

TB Screening Questionaire (*Required*) These questions will be answered in the form integrated in the secure patient portal. If your screening questionaire is positive you will need to have a Tuberculosis screening test.

TB (Tuberculosis) Screening Test Results (*required if your questionaire is positive*) Please upload a report of any medical TB screening tests (either a skin test or an IGRA blood test) done into the secure patient portal.

Physical Exam Please upload a copy of your latest physical exam on the secure patient portal

General Agreement Form- This *required form* is completed online through the secure patient portal and is posted here for informational purposes only.

OTHER FORMS

Medical Record Release/Request    Use this form to request copies of your medical records which are kept at Brandeis Health Center for 10 years.

Meningococcal Waiver Form -For students living on campus to provide informed declination of required Meningococcal vaccine (this is not recommended).