Health Forms
Please return the health forms you received from Admissions to Health Services by July 15. The forms are also available below. Click on the link to download the form and print it out. All immunizations must be updated prior to registration for classes. Health Services will accept physical exams within the past 2 years.
All forms are in PDF and you will need Adobe Acrobat to view them. Get Acrobat.
Undergraduate Forms
- Clark University Health Services Cover Page
- Immunization Alert Health Checklist
- Medical Record: Part A Health History
- Medical Record: Part A Health History (cont.)
- Medical Record: Part B Immunization Record
- Tuberculosis Risk Questionnaire
- Meningitis Information and Waiver
- Medical Record: Part C Physical Exam
- Athletic Physical Exam