This form must be completed by all entering Suffolk University Students. Please print and ensure to have your licensed health care provider complete and sign the Immunization section. New students starting in the Fall semester must return the completed form and immunization records to the Office of Health & Wellness Services by August 1st (new students starting in Spring semester by January 31st.)
Authorization for Release of Information Form
Suffolk University Health & Wellness Services is committed to providing high quality health care for its enrolled students in a safe and private environment. Our Statement of Confidentiality explains how we maintain the confidentiality of your student health records.
Meningitis Waiver Form
Note: Only those students living within the Suffolk Residence Halls on campus are required to have the meningitis vaccine.