Forms for New Students of School of Medicine, School of Nursing and PA Program
Welcome to Yale University Health Services! Please review the documents below for information about your health services requirements and deadlines for submission.
You will not be permitted to register for classes until all the forms are submitted and the immunization requirements are met.
Instructions
- FAQ's for Health Professions Vaccination Record form
- Information for Your Doctor
- New Student Info Sheet
Required Forms
- Health Professions Vaccination Record(due July 20, 2009)
- Health Form and Physical Exam (due July 20, 2009)
- Acknowledgement of Receipt of NOPP(due July 20, 2009)
Other
- Waiver submission (only for students who want to waive parts of the coverage – available in June, deadline September 15, 2009)
- Student Allergy Medical Treatment Plan (only for students requiring on-going treatment by an allergist)
New Student Information for Review
- HIPAA Letter
- Notice of Privacy Practices (NOPP)
- Quick Guide to Yale University Health Services
- YHP Student Handbook
- Student Premiums/Rates
Contact our Member Services Department at member.services@yale.edu or (203-432-0246) if you have any questions or to discuss your options for health coverage.
We’re working together to get you off to a healthy start at Yale!
