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.

  • Personal Information
  • Immunization Information
  • Complete
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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