Health Forms

Are you a new student? Are you a current student participating an external learning experience?

 

Please read the information below, and download the required form. Please pay careful attention to which form you will need to use, as it varies depending on your program.

 

 

Incoming Students

Congratulations on your acceptance to Daemen College! Upon acceptance, you were sent a Student Health Form. If you need another copy of the form, please check below.

Each accepted student must meet certain health requirements, in accordance with New York State law. Any student born on or after January 1, 1957, must submit proof of immunity to measles, mumps, and rubella. Students will not be allowed to register for classes until this documentation is on file in the Health and Insurance Services Office.

Legislation also requires all students, regardless of age, to make an informed decision regarding the meningitis vaccine. Each student must be aware of the risks of the disease, a potentially fatal bacterial infection, as well as the availability of a vaccine to help protect them. Daemen College is required to maintain a record of the following for each student:

  • a record of meningococcal meningitis immunization within the past 10 years

                                    * OR *

  • an acknowledgment of meningococcal meningitis disease risks and refusal of meningococcal meningitis immunization signed by the student or if a minor, student's parent or guardian.

In accordance with the law, no student will be allowed to attend classes without the required information on file in the Health and Insurance Services Office.

Incoming Student Health Form

Below is the Student Health Form required for health compliance. You must submit this form to the Health and Insurance Services Office in order to register for classes. Download this form if you a freshman or a transfer student.

Health Form

Visual Effects Program

If you are an incoming student in the Visual Effects Program, you must submit the form below in place of the incoming student health form. This form waives the requirement of a physical exam for admission.

VFX Health Form

External Learning Experiences

Below are the forms you will need to submit in order to be health compliant for your external learning experience. You must submit the required form to the Health and Insurance Services Office before you attend your first day of the experience. The Director will contact your course teacher regarding student compliance. Please ensure you make copies of your completed form to bring to your clinical site.

Athletic Training

If you are an Athletic Training Student going out on an external learning experience (clinical), please submit the below form:

Athletic Training Form

PA, PT, and NURS

If you are completing an external learning experience and you are in the PA, PT, or NURS program, you are required to submit the below form:   

Clinical Form

World of Opportunity Wizard

Wow! Did you know Daemen students travel to help people in need!

Health Care Studies Professor Justine Tutuska, accompanied by her students, traveled to the Dominican Republic to work on Public Health Issues and school building.

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Student Profiles

David - International Business

International Business

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David was an international student from Caracas, Venezuela. He majored in International Business and had an internship at Liberty Pumps, which eventually turned into a job.