Downloadable Health Forms

Complete your respective Health Form and return to Health Services!

Please download the following forms (in adobe acrobat, pdf - download adobe acrobat ) and take to your health care practitioner to complete.

Resident Students:

• Student Health Information and Physical Exam Forms (required for all students)
• Meningococcal Vaccine Waiver Form
• Cresson Area Ambulance Subscription Form (recommended for resident students)

Commuter Students:

• Student Health Information and Physical Exam Forms (required for all students)

Athletes

• Student Health Information and Physical Exam Forms (required for all students)
• Meningococcal Vaccine Waiver Form
• Cresson Area Ambulance Subscription Form (recommended for resident students)
• Annual Pre-Participation Athletic Medical History Form

Clinical Forms for Nursing and Health Studies Students (These forms only need to be completed if the student is currently registered for a clinical course and will be going to a clinical site off campus)

• Clinical Requirements for Nursing and Health Studies Students
• Immunization and Titer Record Form (required for students when entering into a clinical rotation)

Additional Forms

• 2 Step and Annual PPD Form  (A 2 Step PPD is required for Nursing and Health Studies students when initialing entering into a clinical rotation; an Annual PPD is required for Nursing and Health Studies students during the 2nd year of clinical rotation)
• Vaccine Waiver Record

Once completed, please mail to:

Health Services Office - St. Joseph Hall 100A-102
7373 Admiral Peary Highway
Cresson, PA 16630

(814)886-6515 or (814) 886-6391
Fax: (814) 886-2978