Required Health Forms
| Due Dates | |
| Fall Semester | July 15 |
| EOS (summer) | June 15 |
| Spring Semester | January 15 |
| D.Min | September 15 |
| MAT | May 15 |
| MFA | June 15/December 15 |
A $10 late charge will be applied to forms received after the due date, or forms submitted incorrectly or incomplete
Drew University is committed to providing a healthful environment for all students and is compliant with all state and federal regulations that apply to the health and safety of students (NJAC 8:57-6.1 to 8:57-6.18). In order to protect students from vaccine-preventable diseases and to comply with New Jersey law and University requirements students must submit the necessary health forms to Health Services by dates listed above. It is the responsibility of all matriculated students to comply with these requirements, failure to do so will result in registration termination and/or campus housing holds. All documents must be in English.
Health forms are available to incoming students of all programs at www.drew.edu/health under New Student Documents. Some forms must be completed online via Drew’s confidential electronic health record platform myhealth; some forms must be completed and submitted to Health Services by the due dates listed above.
All matriculated full-time and part-time students who attend class on campus at any time are required to provide the following:
Online forms to be submitted through myhealth include:
- Authorization for Treatment (if over 18 on arrival day)
- Privacy Practices Acknowledgement (all students)
- Admission Health History (all students)
- Immunization Record(all students)
- Proof of two Measles vaccines after age one and thirty days apart, or laboratory proof of immunity if born after 1956
- Proof of one Rubella vaccination after age one or laboratory proof of immunity if born after 1956
- Proof of one Mumps vaccination after age one or laboratory proof of immunity if born after 1956
- Proof of three Hepatitis B vaccines if enrolled in 12 or more credits
- Proof of current Meningococcal Meningitis A,C,Y, & W-135 vaccination if planning to live in campus housing
- Completion of the Information on Meningococcal Disease and Vaccination Form
- Tuberculosis Low Risk Questionnaire (all students)
- Forms to be mailed include:
- Immunization Record for Healthcare Provider (all students)
- Physical Examination Form (required for all CLA students within one year of starting class; optional for Graduate, Theology and CUE students)
- Parent/Guardian Authorization for Treatment Under 18 (only for students who will not be 18 years old on arrival day)
- TB High Risk Assessment Questionnaire (if needed)
Short-Term International Students
Matriculated international students who are enrolled in a short-term program must be compliant prior to their arrival on campus. If they are not compliant when they arrive, they may not attend classes nor may they reside on campus. It is the responsibility of the Admissions Office of the school in the programs of which these students are participating to instruct students about this policy, to provide Health Services with the required forms, and to alert non compliant students in a timely way.
Non-matriculated Students
College Specials, College Visiting Students, and High School Students are required to comply with all requirements as described in New Student Documents however the physical examination is not required. Non-matriculated students in the Graduate and Theological School Students are required to complete documents as described in New Student Documents. Community Auditors, Graduate or Theological School Special Students who are not pursuing a degree and are not living on campus are NOT required to submit health forms.
Leave of Absence
Students who take a leave-of-absence longer than one year are required to update their medical records. When a student falls into a high risk group, or has traveled or lived in a high risk country during the leave-of-absence, the returning student is required to have a TB test at the time of their reentry to campus. Students who are continuously enrolled are not required to resubmit their health forms.
Failure to Comply
Health Services is responsible for maintaining a current list of non compliant students on the University database. If the required forms are not complete or are not submitted to Health Services by Friday of the second week of classes the Dean of Campus Life and Student Affairs will be so informed. Students will not be permitted to register for subsequent classes.
Exemptions
The State of New Jersey permits exemption from certain immunization requirements under the following conditions:
Age Exemption:
Students born before January 1, 1957 are automatically exempt from the Measles, Mumps, and Rubella vaccination requirement. However, age does not exempt a student taking more than 12 credits from the Hepatitis B vaccine requirement or a new student residing in campus housing from the Meningococcal A, C, Y, & W-135 vaccination requirement, students are still required to complete all other documents on the New Student Documents.
Medical Exemption:
Students are not required to have any vaccinations that are medically contraindicated. To apply for a medical exemption, the student must have the Medical Exemption completed and signed by a health care provider. Students applying for a medical exemption from a certain vaccination must comply with all other pre-entrance health requirements including alternate laboratory antibody testing for the vaccine that the student cannot receive (i.e., measles, mumps, rubella, hepatitis B).
Applications for medical exemptions from certain vaccinations are reviewed and approved by the Director of Health Services. When the student’s medical condition permits vaccination, the medical exemption will end and the student will be required to obtain the vaccination that he/she was exempted from receiving.
Drew University may temporarily exclude a student with a medical exemption from vaccination from classes and from participating in college sponsored activities during a vaccine-preventable disease outbreak or threatened outbreak. The decision to exclude a student with a medical exemption will be made by the University in consultation with the New Jersey Commissioner of Health.
Reference: N.J.A.C. 8:57-6.14
Religious Exemption:
New Jersey permits exemption from mandatory vaccination for students with religious objections to the administration of these agents. To apply for a religious exemption, the student must provide the Health Service with the completed Religious Exemption that is dated and signed by the student (co-signed by the parent or legal guardian if the student will be under 18 years of age by the time of campus arrival).
Students applying for a religious exemption from vaccinations must comply with all other pre-entrance health requirements including alternate laboratory antibody testing for those diseases against which the student has not been vaccinated and which are required for attendance at Drew University. These include measles, mumps, rubella, and hepatitis B.
Applications for religious exemptions from vaccination are reviewed and approved by the Director of Health Services. Drew University may temporarily exclude a student with a religious exemption from vaccination from classes and from participating in college sponsored activities during a vaccine-preventable disease outbreak or threatened outbreak. The decision to exclude a student with a religious exemption will be made by the University in consultation with the New Jersey Commissioner of Health.
Reference: N.J. A.C. 8:57-6:15.
Additional information on immunization requirements may be found at: http://nj.gov/health/
Confidentiality
Medical records are confidential and are used exclusively by Health Services to provide safe and personalized care. The immunization record is an exception, since it must be available to state inspectors and University officers on a need-to-know basis. All medical records are kept on file at Health Services for ten years after a student leaves.