Health Clearance Form

Please fill out the form below. If you wish to fill out a printable form, please click here to download the PDF form.

  • Current Personal Information
  • Immunization Information
  • Complete
Contact Information
Year of Entry
Student Type

New Jersey State Law

You must submit proof of the following immunization records in order to move onto campus and to attend classes: All students must submit proof of 3 Hepatitis B vaccines, 2 MMR vaccines, 1 meningitis ACYW since age 16+. Residential students must also submit proof of COVID-19 vaccination (2 doses of the original COVID vaccination or the updated COVID bivalent vaccination will be accepted).

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