Search

 

Forms

Required Forms

If you are an admitted freshman/transfer student, the following forms are required:

If you are a student athlete:

  •  The Athletic Health Form must be submitted at least three weeks prior to your Orientation/Enrollment date. Completed forms need to be faxed to Sports Medicine at  631-632-3231.
  • The Meningitis Form must be submitted at least three weeks prior to your Orientation/Enrollment date. If you are 18 years of age or older, this requirement can be met by logging on to your SOLAR account and submitting your response electronically under "Holds."

If you are an international student:

  • The Immunization Form / Meningitis Form must be submitted shortly after you receive notification of your acceptance to Stony Brook University. This form should be received no later than 3 weeks before you arrive on campus for orientation/enrollment.
  • The Health Form must be submitted shortly after you receive notification of your acceptance to Stony Brook University.  This form should be received no later than 2 weeks before you arrive to campus for orientation.

If you are a Health Sciences Center student including School of Health Technology and Management, Nursing, Social Welfare, and the Graduate Program in Public Health, please locate your required forms here:

http://www.stonybrook.edu/hscstudents/new_students.shtml

If you are a Dental Student, please locate your forms here:

http://dentistry.stonybrookmedicine.edu/

If you are a Graduate or SPD student:

Immunization / Health Forms may be submitted by uploading them through our Patient Portal @
 
https://stonybrook.medicatconnect.com

OTHER IMPORTANT FORMS :

Meningitis Form - For those students that opt not to submit the official Stony Brook University Immunization / Meningitis Response Form, you may complete the Meningitis requirement by submitting this form.  If you are 18 years of age or older, this requirement can also be met by logging on to your SOLAR account and submitting your response electronically under "Holds."

Consent for Treatment - For students under the age of 18.

 

RECORD RELEASE

 

If you have an active Net ID, you may obtain a copy of your immunization records from the Student Health Patient Portal.  Please visit

https://stonybrook.medicatconnect.com

If you require a signed and stamped copy of your immunizations or additional medical records you must complete, in its entirety, an “Authorization for Protected Health Information”.  This form may be found on the Stony Brook website at:

Authorization for Release of Information 

The completed form may be sent to Student Health by mail or fax. A copy of signature ID (such as a copy of your driver’s license) MUST be attached. Requests are processed in the order in which they are received. Please be aware once your request has been received, it will be processed within 10 business days.    

Health records may be faxed only to a Physician’s Office or a University Health Office.  All other requests will be sent by mail.  Health Records cannot be e-mailed.

Please be specific in your request, a request for release of full medical records may incur a per page charge as well as may delay receipt of documents.

---

NOTE: All of the above documents are in PDF format. You will need Acrobat Reader to view the PDF documents.

Click to download Acrobat Reader