Congratulations on your acceptance to UMass Dartmouth.
To comply with our health requirements, you must:
- Complete and submit the health form.
- Submit your immunization record (required by Massachusetts Law).
- Fill out a waiver if you’re not going to receive the meningitis vaccine.
Thank you for your early attention to these requirements.
Download the health form and waiver
Download a printable version of the 2012_2013 Health Form
Download a printable version of the Meningitis Waiver Form
Filling out the health form
We’ve included the following steps to help you complete the health form:
1: Answer the questions
Answer questions on pages 1, 3, and 4.
On page 4, if you answer YES to any of the questions, your health care provider must fill in the TB section on page 2. If your TB information is not documented, your health form will be considered incomplete.
2: Send your immunization records
Attach a copy of your immunization record, available from your high school or previous college. Please send copies, not the original record. We destroy copies once the dates are entered into our database.
If you don't have a copy of your immunizations, please see your health care provider and have him/her fill out and sign page 2 of the form.
3: Receive/waive the meningitis vaccine
All full-time and part-time new residential students must read the information about bacterial meningitis. If you decide you want the vaccine, your healthcare provider must fill in the date you received the vaccine and sign page 2 of the health form. Or, you must submit proof of this vaccine from your health care provider. If you are unsure, or your meningitis vaccine will be delayed beyond the due date, please sign the Meningitis Waiver Form.
The meningitis vaccine information must be submitted by June 1st (all students) or no later than August 15th (late acceptances) for Fall admission, and no later than January 15th for Spring admission. Massachusetts law requires that we have this information so you can live on campus and register for classes.
4: Mail the form
Mail the completed health form to:
University of Massachusetts Dartmouth
Health Services
285 Old Westport Road
North Dartmouth, MA 02747
Due dates
These requirements are due by June 1 (all students) or August 15 (late acceptances) for Fall acceptance, and January 15 for Spring acceptance, or 30 days after acceptance. Failure to comply will adversely affect your admission or result in a hold on your registration, and residential students will not be allowed into the residence halls.
Physicals
The Health Services office does not require physicals for students taking classes.
However, students participating in Intercollegiate Athletics will need a physical. The form is available from the Athletic Department.
