Below are a number of forms that must be completed by all incoming Mount Holyoke College Students. These forms must be completed and signed by your Health Care Provider. Please note, there is an instruction sheet with each page. Please read the directions carefully and complete all requirements.
- Incoming Student Letter
- Contact Information/Consent for Medical Care
- Pre-Entrance Health Requirements Checklist
- Medical History and Physical Form*
- TB Screen Form*
- Immunization Form*
- Meningitis Waiver Form
- Sickle Cell Form
Email all forms to firstname.lastname@example.org or fax to 413-538-2352.
*Health Care Provider signature required