Forms

Information Sheet- This sheet explains the immunization requirements for York College according to the Centers for Disease Control and recommendations from York City Health Bureau.

Student Health and Medical Record* - The Student Medical Record must be completed by a medical provider prior to your attendance at York College.

Meningitis Information - This is the meningococcal vaccine information sheet which explains the disease and the importance of the vaccine.

Release of Information - This form does not need to be sent with the student health and medical record.

 

 

* The Student Medical Record is required for all students at York College. Failure to comply will result in a hold being placed on the student account. This means that the student would be unable to register for future classes and would not receive grades for the current session until this form is submitted. Please complete and return to: Office of Health Services, York College of Pennsylvania, York PA 17403-3651, or fax to 717.849.1601.

Student records are protected under Federal Confidentiality Regulations and cannot be disclosed without written consent.