Admissions

 

One College Two Campuses

Medical Forms

The following information was for fall 2012 registration, and is provided for informational purposes only. Updated information for fall 2013 will be made available as the season approaches. Thank you!

Hello from the Health Center! Please read the cover letters below and print out the checklist to make sure you submit all of the necessary medical forms by August 1.

Nancy Calabrese, MSN, CRNP
nancy.calabrese@sjca.edu

Lynda Turner, MSN, CRNP
lynda.turner@sjca.edu

Health Center Phone: 410-626-2553
Summer hours vary

• Health Center Forms Checklist
• Letter from the Health Center
  • Medical Authorization And Health History Form
  • Meningococcal Vaccine Pre-Payment Form
  • Meningococcal Vaccine Information Sheet
  • Meningococcal Vaccine Requirement and Waiver Form
    
  • Health Center Tuberculosis Screening and Risk Assessment Form
  • Health Insurance Waiver Form*
• Letter from the Counseling Center
• Letter from the Assistant Dean Concerning Disabilities Registration
  • Disabilities Registration Form
  • Documentation of Learning Disability and/or ADD/ADHD
  • Documentation of Other Disabilities

*link added 7/2/12

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