1. Each student must provide a health care provider completed Dartmouth Immunization Form (see PRINTABLE FORMS below), or a copy of your immunization record obtained from your home doctor, prior school, or military.
2. Each student must provide a completed Tuberculosis Screening/Testing Form (see PRINTABLE FORMS below).
3. Each student must complete a series of ONLINE health forms accessed through the 'Health Services Link' on your Banner account (see ONLINE FORMS TO COMPLETE below).
4. Any student participating in a NCAA sport or Rugby must have a health care provider complete the 'Athletic History & Physical Form' (see PRINTABLE FORMS below) prior to the start of team practices.
Any student who will be under the age of 18 on September 1, 2016 must complete the 'Special Authorization for Minors' Form (see PRINTABLE FORMS below).
Complete the series of online health forms accessed through your Banner page following the steps below:
MAIL PAPER HEALTH FORMS TO: Dartmouth College Health Service, ATTN: Medical Records, 7 Rope Ferry Road, Hanover, NH 03755. Please allow 2-3 weeks for your forms to be processed. Once your forms are processed you will receive an email advising you if you are compliant or if there are outstanding requirements.
Q: Do I need to have a physical exam prior to coming to Dartmouth?
A: No, the Health Service does not require a physical exam. However if you are playing an NCAA sport a physical exam WILL be required. The NCAA form can be found by clicking here. We ask that you provide us with your medical history, allergies, medications, family history, etc. when completing the online Health History Form.
Q: What happens if I don't complete the requirements prior to the deadline?
A: If you are not in compliance with health and immunization requirements prior to the deadline you risk having a health hold placed on your Banner account. A health hold can prevent you from electronically checking in for your first term.
Q: Do I have to complete these requirements if I waived out of the Dartmouth Student Group Health Plan?
A: Yes! The health and immunization requirements are separate from the insurance portion of your requirements.
Q: I have most of my information ready to go but am missing proof of one of the required immunizations. Should I send in the information that I currently have or wait until everything is complete?
A: Please send us the information you currently have and follow-up with clinical documentation of any remaining vaccines.
Q: Do I have to complete the 'Tuberculosis Testing Form' if I answered 'no' to all questions on the 'Tuberculosis Screening Form'?
A: Yes. Even if you answer 'no' to all questions on the first page, your health care provider must still fill out the second two pages.
Q: Do I have to complete both the online immunization form AND submit the paper immunization record?
A: YES! We require a hard copy of the immunization record to authenticate the information entered into the online form.
If you have any questions about the immunization and health requirements please contact Jacqueline Carter in the Medical Records Office at 603/646-9404.
Last Updated: 5/23/16