Health Forms

All students admitted to the School of Nursing and Division of Respiratory Care, School of Pharmacy,  School of Health Professions (Physician Assistant Studies, Physical Therapy, Occupational Therapy, and Athletic Training) (collectively, “Health Professions”) must provide evidence of specific immunizations prior to the applicable date set forth on the Health and Insurance Requirements for Health Professions Students form.  Students who fail to provide these documents before the deadline may have their admission revoked, or be suspended or dismissed from SU, and will not be allowed to attend classes, laboratory sessions, or clinical rotations.  As a result of public health considerations, students admitted to a Health Professions program are not eligible for a Religious Exemption to the immunization requirements.

Late Fees

A late $27.00 late fee will be charged to the student account for any health form that is incomplete or not submitted by August 1^st for the fall semester, January 5^th for the spring semester, and May 15^th for the summer semester.

A late $27.00 late fee will be charged to the student account for any incomplete insurance requirement not completed on line at www.firststudent.com by August 1^st for the fall semester, January 5^th for the spring semester, and May 15^th for the summer semester.

Questions or concerns please feel free to contact us at (540) 665-4530.

Health Forms

• Shenandoah University Health Form
• Tuberculous Statement of Treatment Form
  For students with a positive TB skin test where a chest x-ray is required

Athletic Medical Participation Forms

• Medical Participation Forms
• Sickle Cell Trait Form
• Health Physical Form

Other Forms & Policies

• Request a Vaccine Exemption 
• Consent Request for the Release of Health Information
• Communicable Disease Exposure Form
• Blood Born Pathogen Policy