**New Students**
Please fill out New Student forms on the Health Portal. All forms will only be accepted through the student portal. Health forms will not be accepted via USPS mail, fax or hand-carried. All records are digitally filed. The following forms MUST be completed and submitted via the Health Portal no later than May 21, 2024:
Required:
- Emergency Contact Information (on portal)
- Tuberculosis Screening (on portal)
- Immunization History (must manually enter and also upload a copy from your Provider's office)
- Medical History Form (on portal)
- HIPAA Information Release Form (on portal)
- Part A Physical Exam Form The Messiah University Physical Exam Form must be completed. We will not accept any other physical exam forms. Please be sure that the CLEARANCE BOX is marked regardless of your intention of playing intercollegiate sports. This clears you for ALL activities on campus. (must be printed, completed by Provider, and then uploaded to patient portal)
Additional forms if needed:
- Care Options Pharmacy
- Part A Physical Exam Form
- Part B Immunization Form
- PA Driver's Permit Physical
- Sickle Cell Trait Test Information (NCAA)
- Sickle Cell Trait Verification Form
- Allergy Injection Guideline and Protocol
- Allergen Immunotherapy Orders
- Medical Record Release Form
- Medication Refill Request
- Consent to Treat a Minor