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Stony Brook University Stony Brook University Student Affairs
Student Health Service

Forms

Required Forms

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

  • The Immunization Form must be submitted at least two weeks prior to your Orientation date.
  • The Meningitis Form must be submitted at least two weeks prior to your Orientation 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."
  • The Health Form must be submitted before the first day of classes.

If you are a student athlete:

  •  The Immunization Form and Health Form must be submitted at least two weeks prior to your Orientation date.
  • The Meningitis Form must be submitted at least two weeks prior to your Orientation 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 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 on campus for orientation.
  • The Meningitis Form must be submitted shortly after you receive notification of your acceptance to Stony Brook University. 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."
  • 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/dental/student/forms

If you are a Graduate or SPD student:

  • The Immunization Form must be submitted before the start of classes.
  • The Meningitis Form must be submitted at least two weeks prior to your Orientation 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."
  • The Health Form must be submitted before the first day of classes

OTHER IMPORTANT FORMS :

Consent for Treatment

Authorization for Release of Information 

In order to obtain a copy of your records, you must complete in its entirety an “Authorization for Protected Health Information”. 

The completed form may be sent to Student Health by mail or fax. A copy of a 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.

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.

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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

 

See www.stonybrook.edu/titleix for more information and/or to report an incident.