In order to have your complete health record on file at school, we ask that you download and submit the three-page Immunization & Health Form below which will put you in compliance with school policy and state law. Completed pages must be returned to the Health Center by fax, mail or you can scan/email the completed health form. These forms must be received before your arrival at school. The Health Services' address, fax number and email address are on each page to be submitted. If you do not have access to a computer to download the form, please call us at 617-264-7678. We recommend that you keep a copy of your completed forms for your records.
Download the Fall Immunization & Health Form
Download the Spring Immunization & Health Form
The following should be completed by you:
- Demographic Information on page one
- Meningitis waiver form (two pages ) if applicable
The following should be completed by your health care provider:
- Immunization history
- All information of page two should be completed and signed by a healthcare provider (a physical exam is not required)
- Tuberculosis risk questionnaire is to be completed by you and reviewed by your health care provider
If you have any questions, please contact Health Services at (617) 264-7678.