Required Student Health Forms

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Required Medical Forms

Additional Forms

New York State Public Health Laws 2165 and 2167 mandate that all students taking more than six (6) credit hours and born after 1/1/1957 provide proof of immunization coverage. The following information is required to be turned into Health Services prior to the start of your classes.

For your convenience, Health Services does offer physical examinations and the MMR immunizations from September through May. To schedule an appointment for any of these services please call the Student Health Center at 716.286.8390. Our current fee schedule is found below:

  • Measles, Mumps, Rubella vaccination: $60
  • PPD for TB Testing: $15
  • Physical Examination: $75

The above information is due to the Student Health Center 30 days prior to the beginning of the semester.

Important - Please Review

All international students will automatically be enrolled in the 2014-15 United Healthcare Plan, the university-sponsored insurance plan if the necessary paperwork is not received by the first day of school. Enrollment rates and plan information for 2014-15 will be available after August 1, 2014.  This fee will be non-refundable. This will ensure that all international students will have appropriate medical coverage on the first day of classes.

Students who do not submit the required information will be excluded from class, the residence halls and prohibited from further registration at Niagara University, per university policy. Feel free to contact the Student Health Center at 716.286.8390 should you require assistance.