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Medical Evaluation/Immunizations Record Forms

Forms

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Immunization Requirements by Program
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Immunization Form for Web Based Students
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Student Health Forms Disclosure
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Meningococcal Vaccine Information

These forms must be completed by a licensed health provider and returned to the Student Health and Wellness Center no later than four weeks before you enroll in SHRP.

Note: If the University’s director of Student Health finds the results of this medical evaluation to be unacceptable, the School reserves the right to revoke the acceptance. In that case, the tuition deposit will be refunded. Keep copies of your completed medical forms. You will be required to present verification of some vaccinations/tests at affiliated clinical sites prior to each of your clinical rotations.

If you have any questions, please call the Student Health and Wellness Center at 973-972-8219.

UMDNJ—Student Health and Wellness Center
Doctor’s Office Center, Suite 1750
90 Bergen Street
Newark, NJ 07102-2499

Phone: 973-972-8219

UMDNJ Student Immunizations & Health Requirements Policy 00-01-25-40:00

 

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SHRP News & Events

The Faculty / Student HONOR CODE is now online!

The November issue of SHRP News is now available!

H1N1 PREPAREDNESS at UMDNJ

Interdisciplinary Teams - Listen in on a health care team explore issues concerning interdisciplinary patient care

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Check out Enrollment Services' FAQ page!

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