The Health Report is not mandatory but it is strongly recommended for students who are planning to use the services offered at the Student Health Service. If you are unable to print the Health Report and bring it to your doctor, please have your doctor fax your immunization records to us along with a copy of your most recent physical. If you would like more information as to what immunization information is required from you, please click the following link Immunization Requirements. If you are a Varsity Athlete and you want to know what must be submitted for Athletic Clearance, please click the following link Athletic Clearance.
All paperwork can be submitted to our office via the following methods:
FAX: 845-257-3415
EMAIL: healthservice@newpaltz.edu
MAIL: Student Health Service, SUNY New Paltz, 1 Hawk Drive, New Paltz, NY 12561
Please only submit your records one time. The Student Health Service does not need any original copies. We encourage anybody mailing original copies of any documents to keep a second copy safe at home.
**Health Reports/Immunizations are due 1 month prior to the start of classes**
**NEW STUDENT/FRESHMAN HEALTH PAPERWORK** (we will accept physicals up to 2 years old for non-athletes)
**Please download these forms to your desktop and complete them in Adobe. If you complete the forms in a web browser, they will not save properly. If completing the forms in Adobe is not possible, please print out the forms, complete them by hand and scan them back to us. There are many free scanner apps for smart phones you can utilize. You can also try completing the forms on your smart phone or tablet and emailing them back to us.
Health Report- If the doctor does not wish to complete pages 5 and 6, you may attach copies of your immunization records and your most recent physical (we accept physicals up to 2 years old). This Health Report includes all the Health Information we will need from you.
ISOLATION AFFIRMATION FORMS
Pre-Appointment Forms:
The following forms are only to be completed if asked to do so by a Triage Nurse for an appointment at SHS.
**Please download these forms to your desktop and complete them in Adobe. If you complete the forms in a web browser, they will not save properly. If completing the forms in Adobe is not possible, please print out the forms, complete them by hand and scan them back to us. There are many free scanner apps for smart phones you can utilize. You can also try completing the forms on your smart phone or tablet and emailing them back to us.
Overseas Academic Programs Form
Additional Forms:
The following forms are only to be completed if you choose not to complete the Health Report:
**Please download these forms to your desktop and complete them in Adobe. If you complete the forms in a web browser, they will not save properly. If completing the forms in Adobe is not possible, please print out the forms, complete them by hand and scan them back to us. There are many free scanner apps for smart phones you can utilize. You can also try completing the forms on your smart phone or tablet and emailing them back to us.
Demographics - Included in the Health Report
Health History - Included in the Health Report
Meningococcal Disease Fact Sheet
Meningitis Vaccination Response Form - Meningitis ACWY Vaccine must be given within 5 years of the start of classes. If your Meningitis Vaccine was given more than 5 years ago, please check the bottom box on this form in order to fulfill the requirement. Included in the Health Report
Minor Consent - Required only for students under the age of 18 years old, included in the Health Report
Tuberculosis Screening Questionnaire - Included in the Health Report
Additional Forms:
Allergy Questionnaire - Required only for students with allergies to foods/stinging insects.
Asthma Questionnaire - Required only for students with a history of Asthma.
Immunization Records Request Form - For more info., please click the following link: Records Request
Leave of Absence Form - For more info., please click the following link: Leave of Absence.
Release of Records From Student Health Service Records Request
Release of Records To Student Health Service
Exemption Forms forms for MMR Requirements ONLY:
Medical Exemption Form for MMR Vaccinations
Religious Exemption Form for MMR Vaccinations
