Required Health Forms

These forms, in PDF format, are downloadable and printable.

 

Complete Health Form (PDF file)

 This is the five (5) page health form needed to fulfill the health requirements for:

• All incoming, full-time undergraduate students
• Part-time students who are living on campus
• Graduate students who are living on campus
• Full-time graduate students who want to use Granoff Health Services

 

Immunizations documentation (PDF file)

Measles (Rubeola) and German Measles) (Rubella)

    This form is required for:

• All full-time graduate students
• All matriculated graduate students
• Part-time undergraduate students

 

AUTHORIZATION TO RELEASE INFORMATION (PDF file)

    This form allows Granoff Student Health Center to release information:

• to you
• to another school
• to another Health Care Provider

Print out and fill in the form, including all required information and 

    FAX it to 203-392-6301

           or

    Send it to     Granoff Health Services

                          501 Crescent Street

                          New Haven, CT 06515