Health Requirements for All Incoming Students

All health history, immunizations, HIPAA forms, Emergency Medical Contact information, and student-athlete information need to be completed by August 1st.

I. Health History Form:

All undergraduate and graduate first-year (Pharmacy/PGx/MAT programs), and transfer students are required to submit a Health History form. Medical information is strictly confidential and is used to provide the appropriate care for the student when needed. You can complete your Health History form and upload to your Med+Proctor account.

Health History Form

II. Immunizations:

Manchester University requires all entering students to present evidence of immunity to certain diseases before they may arrive on campus. Students whose religious beliefs conflict must fill out the Immunization Exemption form located here.

Required immunizations are:

• MMR (Measles, Mumps, Rubella) (series of two)
• Meningococcal or MenACWY (series of two)
• Meningococcal B or MenB (series of two)
• Tdap (Tetanus, Diphtheria, Pertussis) (within the past 10 years)
  

For International, Nursing, Athletic Training, Graduate and Doctoral students ONLY: 

• Tuberculosis screening test or QuantiFERON Gold Blood test (T-spot) (must be less than 12 months old)
  

Recommended but not required immunizations are:

• Covid-19
• Influenza (required for all health profession students, excludes PGx students, due by October 31st)

III. HIPAA Forms:

We at Manchester University are dedicated to providing quality health services. This includes respecting individual's rights and protecting the privacy of identifiable health information. The Health Insurance Portability and Accountability Act (HIPAA) provides standards for protecting health information. See the Notices of Privacy Practices below.

Individuals’ Right under HIPAA to Access their Health Information | HHS.gov

If you are under 18 years of age by your designated move in date, you cannot be seen without a signed consent form your parent/guardian. Please have your parent/guardian complete the form below and submit the form to Med+Proctor. 

Minor Consent Form

If you are 18 years of age or older, you may authorize Manchester University's Health Services to use and/or disclose certain protected health information (PHI) to a designated parent/guardian. Please complete the form below and submit the form to Med+Proctor.

Protected Health Information Form

IV. Emergency Medical Contact Information:

All incoming students are required to complete the Emergency Medical Contact Information using their MU student login information. The form can be completed using the following link:

  Emergency Medical Card

Additional health requirements for incoming students who will participate in intercollegiate sports:

I. Athletic Forms:

All incoming student-athletes who will be participating in intercollegiate sports must complete their medical information and NCAA requirements by visiting SPORTSWARE. Use these step-by-step instructions to access and upload information.

II. Physical Examination

Students planning to participate in intercollegiate sports must have a physical within the past 6-months from the start of the academic school year for those students enrolling in the fall. For those students enrolling in the spring, sport physicals must be within 6-months from the start of the spring semester. If you do not plan on participating in intercollegiate athletics, there is no need to get a physical examination.

Download Physical Form

Please upload your finished Physical Form to SportsWare in the Forms section

III. Sickle Cell Trait Status

The NCAA is mandating that its member institutions verify sickle cell trait status of every student-athlete beginning August 1, 2022. Although there are no requirements limiting participation in sports by student-athletes who have the sickle cell trait, the NCAA requires Athletic Departments to identify each athlete’s status to better educate and identify high-risk student-athletes. All student-athletes at Manchester University are required to provide documentation demonstrating the presence or absence of sickle cell trait. Please have your healthcare provider complete this form by doing a sickle cell solubility test or by documenting results from a previous test. 

Sickle Cell Trait Status Form

IV. Athletic Insurance: