Health Forms

Beginning with the Fall 2015 semester all students can submit their health information and immunizations records online.  Immunization information can also be updated so that Health Services providers will have available the most current information.  The  Health Questionnaire must be completed before an initial visit.  This portal can be accessed through myPlymouth under the Services column/Students/Health Services-Medicat or  https://plymouth.medicatconnect.com/

Do not forget to hit SUBMIT before closing portal site.

  •  The Health Questionnaire must be completed and submitted through the above link before the first visit.  Immunization information should also be completed on a separate form in this link and a paper copy sent to Health Services.
  • Health Record Release: We must have this form on record if you need your records sent out or received.
  • College Screening Questionnaire: Return this form prior to mental health screenings (including depression, ADD, or ADHD screening).
  • Gynecological Health Questionnaire: Return this form prior to gynecological health appointments (for female patients).
  • STD Questionnaire: Complete this form before calling to make an appointment if you want to have STD testing done through Health Services.

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Student Spotlight: Mae Williams ’14G A Twenty-first-century Preservationist

When Mae Williams ’14G enrolled in the Master of Arts in Historic Preservation program in the fall of 2012, she was drawn to the strength of a program in which, she says, “The professors are not academics locked away amidst a pile of books, but are actually out in the field on a daily basis, […]