Get the free Connecticut State University Student Health Services Form

This form is required for all incoming full-time students at Connecticut State University to provide proof of immunization for enrollment and health services.

How to fill out connecticut state university student

How to fill out Connecticut State University Student Health Services Form

1. Visit the Connecticut State University Student Health Services website.
2. Download the Student Health Services Form.
3. Fill in your personal information, including full name, student ID, and date of birth.
4. Provide accurate contact information, including your local address and phone number.
5. Complete the medical history section, ensuring to include any previous illnesses, surgeries, or allergies.
6. Include details of your health insurance provider, including policy number and contact information.
7. Obtain and attach required immunization records, ensuring they are up to date.
8. Review the form for any errors or missing information.
9. Sign and date the form to certify the information is correct.
10. Submit the completed form to the designated health services office either in person or via the provided submission guidelines.

Who needs Connecticut State University Student Health Services Form?

1. All incoming students at Connecticut State University.
2. Students who are enrolling in health care-related programs.
3. Students living on campus who require health services.
4. Any student planning to participate in sports or physical activities.
5. Students who need to provide proof of immunizations for compliance with university policies.

For pdfFiller’s FAQs

What is Connecticut State University Student Health Services Form?

The Connecticut State University Student Health Services Form is a document that students must complete to provide their health history and vaccination information to the university's health services.

Who is required to file Connecticut State University Student Health Services Form?

All incoming students, including freshmen and transfers, are required to file the Connecticut State University Student Health Services Form to ensure compliance with health regulations.

How to fill out Connecticut State University Student Health Services Form?

To fill out the Connecticut State University Student Health Services Form, students should provide accurate personal information, complete the health history sections, and submit any required documentation regarding vaccinations.

What is the purpose of Connecticut State University Student Health Services Form?

The purpose of the Connecticut State University Student Health Services Form is to collect necessary health information to facilitate student health care and ensure that health services are prepared to meet students' medical needs.

What information must be reported on Connecticut State University Student Health Services Form?

The information that must be reported on the Connecticut State University Student Health Services Form includes personal identification details, medical history, vaccination records, and any current health conditions.