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  • Uconn Student Health History Form 2020

Get Uconn Student Health History Form 2020-2025

RM MUST BE SUBMITTED BY JULY 1 FOR FALL SEMESTER AND JANUARY 2 FOR SPRING SEMESTER Student Last Name: Student First Name: Student Middle Name: Pronouns: Sex Assigned at Birth: Date of Birth: Gender Identity: Net ID: Preferred Name: MM/DD/YYYY IMMUNIZATION HISTORY 1. MEASLES, MUMPS, RUBELLA (MMR) Vaccination - required of all students born after 1957 OPTION 1: OPTION 2: Measles, Mumps, Rubella (MMR) Vaccination Dose #1 Dose #2 (First dose must be given on or after your first birthday to.

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How to fill out the UConn Student Health History Form online

Completing the UConn Student Health History Form online is a crucial step for new students. This comprehensive guide will walk you through the necessary steps to ensure that your health information is accurately submitted and meets all requirements.

Follow the steps to accurately fill out your health history form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin filling out the personal information section, including your last name, first name, middle name, preferred name, and date of birth. Be sure to provide accurate pronouns and sex assigned at birth.
  3. Complete the immunization history section. You will need to provide details about your vaccinations for measles, mumps, rubella (MMR), varicella, and meningococcal. For each vaccine, enter the dates of each dose and check the appropriate box if you have titer results.
  4. If applicable, fill in the clearance to play club sports section. Document the date of your last physical exam and ensure that your healthcare provider initial this section to certify your fitness for participation.
  5. Answer the tuberculosis (TB) risk questionnaire. Be truthful in your responses to the questions regarding travel, birthplace, and previous TB tests. Based on your answers, fill out the necessary testing details, if required.
  6. Complete the sickle cell trait test requirement section, especially if you are an NCAA athlete. Provide the test result and attach a copy of the lab report.
  7. Review the Student Health and Wellness consents. Ensure that you read and understand the consent for treatment and insurance release sections, signing where necessary to authorize disclosures.
  8. Once you have filled out all required sections, save your changes. You will have options to download, print, or share the form as necessary. Finally, submit the completed form by scanning and uploading it to the Student Health Portal.

Complete your UConn Student Health History Form online today to ensure a smooth start to your academic journey!

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Contact support

You can reach UConn Student Services at their dedicated email address: studentservices@uconn. This email is a great way to ask any questions you have regarding your enrollment or access to student resources. They respond promptly, ensuring you receive the information you need. Don’t forget to mention your UConn Student Health History Form when inquiring about health services.

To obtain proof of enrollment, you can log into the UConn student administration portal. Once logged in, navigate to the student services section where you can find options for enrollment verification. If you need assistance, you can contact the UConn Student Services office directly. Remember, having an accurate UConn Student Health History Form can be essential for your enrollment process.

UConn requires a physical exam for new students, particularly those in athletic programs. This exam helps ensure that students are healthy and ready for academic challenges and activities. Remember to include your physical exam details on the UConn Student Health History Form for a complete submission.

To waive health insurance at UConn, you need to provide proof of comparable coverage through an outside plan. You can do this during the specified waiver period on the university's health insurance website. Mentioning this clearly on your UConn Student Health History Form can help streamline the process.

UConn requires several vaccinations, including the MMR vaccine, the tetanus-diphtheria-pertussis vaccine, and the meningococcal vaccine. Understanding these requirements helps ensure your compliance and safety on campus. Complete your UConn Student Health History Form by listing all required vaccinations.

Yes, UConn Health is an essential component of the University of Connecticut. It provides healthcare services to both students and the surrounding community. If you have any health concerns, be sure to mention them on your UConn Student Health History Form.

The compulsory vaccine at UConn is the one for measles, mumps, and rubella (MMR). This vaccine protects both individual health and the health of the broader community. It's important to provide proof of this vaccine when you fill out your UConn Student Health History Form.

Yes, UConn requires students from certain regions or those with specific health concerns to complete a Tuberculosis (TB) test. This requirement is crucial for ensuring campus health and safety. Be sure to include your TB test results when submitting your UConn Student Health History Form.

Cats should receive a series of core vaccines that typically include those for rabies, feline viral rhinotracheitis, calicivirus, and panleukopenia. Additionally, non-core vaccines may be recommended based on lifestyle and risk factors. If you're a UConn student, make sure to include any pet vaccine records required alongside your UConn Student Health History Form.

To request a copy of reports, please contact UConn Health's Medical Records department at 860-679-2698.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232