THE WELLNESS CENTER IS UPDATING ALL HEALTH FORMS AND THEREFORE NOT ACCEPTING ANYTHING SUBMITTED.
A NOTICE WILL BE POSTED ON OUR MAIN PAGE ONCE THE FORMS ARE ACCESSIBLE. IF YOU HAVE ANY QUESTIONS, PLEASE FEEL FREE TO EMAIL US. THANK YOU FOR YOUR PATIENCE.
Welcome!
In order to keep you and our campus community healthy we follow Maryland State and CDC guidelines regarding Immunizations and Screening for TB and require current, accurate Health information.
Whether you are an Incoming Freshman or a Transfer Student, below is required information you need to complete/submit:
-
- Demographic and Consent Form
- Students who will be under 18 when they start college MUST have this form signed by a parent/guardian.
- Health History Form
- Immunization Record Form
- MMR – Measles, Mumps, Rubella
- Tdap – Tetanus-Diptheria-Pertusis
- Meningococcal Vaccine
- Students who live on campus are REQUIRED by the State of Maryland to share proof they have received the Meningitis Vaccine.
- Covid-19 Vaccine
- Tuberculosis Screening
- Exemption Form (if stated on Immunization From)
- Insurance Card Front and Back
- Only used if we have to send out labs or if you fill a prescription
- Demographic and Consent Form
Please complete/submit ALL Health Forms before coming to campus.
This can be done through the
SMCM Student Health Records.
To sign in, use your SMCM email and password.
Deadline: August 1 for the fall semester and December 15 for the spring semester
We no longer accept forms mailed or faxed to the Wellness Center.
Be aware that this information must be completed in order for you to move on campus or to register for classes otherwise a hold will be placed in your file until these forms are received.
It is the students’ responsibility to ensure and double-check all information is complete and accurate. Parent or legal guardian signature required if student is under 18.
St. Mary’s is not liable for any medical information omitted from these documents. It is advisable to keep a second copy of all information for your own records.
All information shared with the Wellness Center is confidential and will not be released without your consent.