Health Evaluation Forms and FAQs

Health Evaluation FormThe Health Evaluation Form must be printed and taken to your primary care provider to complete the physical exam section. In addition to the provider-completed exam, you must also submit your immunization records and complete the Health History Questionnaire.

download the Health Evaluation Forms

Frequently Asked Questions & Answers

  • What immunizations are required?
    Pennsylvania State law requires all students living in university housing to either show proof of the meningitis vaccine or sign a formal waiver before moving into the residence halls. Details regarding this requirement are outlined in the Millersville University Health Evaluation Form. https://www.millersville.edu/healthservices/files/health-forms.pdf
     
    Immunizations are optional for enrollment at Millersville University, although we strongly encourage every student to ensure their vaccinations are current.
     
    Major public health and medication organizations—such as the Centers for Disease Control & Detection (CDC), Department of Health (DOH), American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), and American College Health Association (ACHA)—highlight immunization as a crucial shield against contagious diseases, especially in shared living and learning spaces.
     
    We encourage you to reach out to your medical provider to review your immunization record. Asking your provider about recommended vaccines is a simple, proactive step toward protecting your well-being and helping maintain a healthy, thriving campus for everyone.
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  • How do I find my immunization records?

    Contact your primary care provider or log into your online patient portal.  You may also reach out to previous providers or your pediatrician.  Medical offices typically keep your medical records for 7-10 years after your last visit. Contact your school district.  Your high school or school district main office often maintains transcripts which include your health files for a period after graduation. You may also be able to retrieve your records from the PA Department of Health or through the PA Immunization Electronic Registry System.  Instructions on how to request records can be found under our Measles information tab.  If you are unable to find your immunization records and are concerned about your immunity status, contact your primary care provider to discuss blood antibody titer tests or revaccination.  

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  • Who may complete the Health Evaluation form?

    There are two sections to the health evaluation form. The first section is completed by the student. This section includes demographics, family medical history, personal medical history, and social history.  The medical provider completes the physical exam portion and lists current allergies and medications.  Please note, you are not required to use our form.  You may provide a summary report from your most recent physical.

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  • Where should I send the forms once I have them completed?
    You may upload your entrance physical and immunizations directly to your health portal. Step-by-step instructions are included on the first page of the health forms. You may also drop them off directly to our office, or you may submit by mail, fax, or e-mail. 
     
    Millersville University Health Services
    Lyle Hall  - 2nd Floor
    40 Dilworth Road
    Millersville, PA 17551
    Email:
    Fax: 717-871-7926
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  • I am a commuter. Do I still have to complete the Health Evaluation forms?
    We highly encourage you to submit your entrance physical and immunization records to Health Services. While a full physical and complete immunization records are not mandatory, they are strongly recommended so we can provide you with personalized medical support, rapid response during outbreaks, and streamlined care.
     
    We may require medical records for specific appointments such as Learner's Permit Physicals, athletic clearances, transfer of care for mental health management, or deemed a necessity by the medical provider. 
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