Student Health Services
275 Mount Carmel Ave
Hamden CT, 06518
(203)582-8742
Operating Hours: 24 hours a day, 7 days a week.

STEP 1 :
            Students starting in   January 2014    ------------  Due by January 15, 2014
            Students starting in       May, 2014     ------------  Due by May 15, 2014
            Students starting in    August 2014    ------------  Due by May 31, 2014
Transfer students starting in August 2014     ------------  Due by June 15, 2014
Graduate students starting in August, 2014   ------------  Due by June 29, 2014


*1. On-Line Form: After Logging in, Click on the Personal Form link on the left of the page and follow instructions


THE ON-LINE PERSONAL FORM IS REQUIRED BEFORE ATTENDING ORIENTATION ON CAMPUS.



STEPS 2 and 3 :
            Students starting in   January 2014   ------------  Due by January 15, 2014
            Students starting in       May, 2014    ------------- Due by May 15, 2014
            Students starting in    August 2014   ------------- Due by July 15, 2014
Transfer students starting in August 2014   ------------- Due by July 15, 2014
Graduate students starting in August, 2014 ------------  Due by July 15, 2014

*2. All Full Time Students: Choose and PRINT the Student Health Services Physical Examination Form. A physical exam, within 1 year prior to the start of class must include: 
     • 2 MMR’s – per guidelines indicated on the health form
     • TB Screening – per guidelines indicated on health form
     • Meningitis vaccination – required of anyone residing in campus owned housing
     • Varicella documentation of either diagnosis of chicken pox disease documented by your healthcare provider, documentation of 2 doses of the Varicella vaccine or proof of immunity by titer
     • Signatures of physician on page 1 and student and parent on page 2
*3. On-Line Immunization: Click on the Immunization link on the left of the page , choose New and complete dates for all immunizations for which you have documentation .


AFTER COMPLETION OF THESE THREE REQUIREMENTS PLEASE MAIL PHYSICAL FORM AND IMMUNIZATION DOCUMENTATION TO STUDENT HEALTH SERVICES by due date for verification


**PART TIME GRADUATE STUDENTS ONLY: Choose and print the Part Time Graduate Health Form. Part Time Graduate Students: No On-line Personal Health Form is required.


Please enter your Quinnipiac network user name and password to log in. Your user name is entered in the following format:

FMLastname or FLastname; F stands for your first initial and M stands for your middle initial. Your user name is identical to the user name that is used to log into your E-Mail account. DO NOT put in @Quinnipiac.edu


Login

User Name:

Password: