Health History & Immunization Form
This form is for all entering Suffolk University Students. This is for all students who will be making their first visit to Health Services, and any student who has had a significant change in their health status since the last time they filled out this form. Please download and fill out this form before your scheduled appointment and bring it with you.
For new students, this form must be submitted to Health Services no later than August 1st, 2009.

Female History Form
This is for all women coming in for gynecological check-ups/ annual GYN appointments/ pap smears.  Please download and fill out this form before your scheduled appointment and bring it with you.

Authorization for Release of Information Form
All student medical information is kept confidential. The student’s permission must be obtained before Health Services will give information to anyone not directly related to their care. This includes parents and University officials.  If students would like to have their information released to another party, they must sign this form.

Meningitis Waiver Form 
**Note:  Only those students living within the Residence Halls on campus (Miller Hall, 10 West, 150 Tremont, The Holiday Inn or the Hyatt)  are required to have the meningitis vaccine.

Suffolk University Student Health Insurance Waiver Form
**Note:  The deadline to waive the health insurance is September 25, 2009  for the 2009-20010 school year.  If you do not waive by this date, you will incur the cost of the policy for the year.

** Please make sure to print out the confirmation page after you waive the insurance as this is the only documentation you will have that proves you waived.

Because of Massachusetts law, all entering Suffolk University students are automatically enrolled in the Suffolk University Student Health Insurance Plan.  All students must annually submit a waiver form if they will be using health insurance provided by an alternate U.S. based carrier.
Foreign insurance policies are not accepted and international students may not waive participation in the Suffolk University Student Health Insurance Plan.

More information about the Suffolk University Student Health Insurance Plan (SSHIP) can be found by clicking here.

Suffolk University Student Health Insurance Enrollment Form
If you do not have health insurance provided by a U.S. based carrier, you are required to participate in the Student Health Insurance Program offered through Suffolk University. This mandate includes all undergraduate and graduate students who are registered for 9 or more credits each semester and all international students (regardless of credits) including those sponsored by their embassy.

More information about the Suffolk University Student Health Insurance plan can be found by clicking here.