All new students must complete the Medical Information Form, which can be downloaded below. The Medical Information Form outlines all of the medical documentation required to become a student at the University of New Haven. You must submit all of the following, using the form linked below:

• Necessary Insurance and HIPAA Information
• Required Health Examination Report (physical exam)
• Proof of Required Vaccinations
• (Optional) Proof of Encouraged Vaccinations

Please download the form using the button below, and read the applicable sections of this page for further instructions on submitting them to the University.

Download the Required Medical Information Form (PDF)

Overview of Requirements

The following information is also available on the Medical Information Form, but is summarized here for new students.

Health Examination Report (Physical Exam)

It is mandatory that all students entering the University of New Haven have a completed Health Examination Report on file, thus enabling the Health Services staff to render optimum health care when needed. All students are required to complete the health history form prior to the beginning of classes in the initial term of full-time enrollment. An exam is not required annually, except for student-athletes and some specialized academic programs that require an annual physical.

In the past several years, outbreaks of vaccine-preventable diseases on college campuses throughout the United States have resulted in many lost school days, severe complications from the diseases, anxieties for students and their parents, and large expenditures of monies to contain these outbreaks. Compliance by each student with the pre-entrance immunization policy at the University of New Haven protects the student and the general University community. All students are required to complete the health examination report prior to the beginning of classes in the initial term of enrollment.

Required Immunizations

For your own safety and that of your classmates, you will not be permitted to register for classes or access your residence hall until the University’s Health Services Office receives proof of the following for its records:

• The State of Connecticut requires ALL students to have the MMR vaccine (Measles, Mumps, and Rubella). Vaccines after December 1956 or given before the first birthday are not valid. MMRV is also acceptable.
• The State of Connecticut requires ALL students to have the Varicella (Chicken Pox) vaccine. Two doses required or proof of history of disease, or blood test to prove immunity required. MMRV is also acceptable.
• The State of Connecticut requires that all students living in university housing receive 1 injection of the Meningitis (MCV 4 Sero Groups, A,C,Y and W135) vaccine within five (5) years of enrollment. If you are planning on living in the residence halls or in university housing, you MUST have received this vaccination and be able to produce valid proof. Proof this vaccine is also required of all University of New Haven athletes, whether living on or off campus.

Please read the applicable sections of this page for further instructions on submitting them to the University.

Medical Exemptions

If the required immunizations cannot be received due to medical conditions, a Medical Exemption Certificate should be filled out by a healthcare provider and submitted to the upload email for review. Health services will submit the required documents to the DPH portal as state law requires. Only medical exemptions will be accepted, as religious exemptions are not permitted per state law.