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.

In Plymouth Magazine

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Annual Fund Giving Challenge Inspires More Than 430 Donations in 48 Hours

On November 14 and 15, 2015, Plymouth State University hosted its first giving challenge, #PanthersGiveBack. Alumni couple Wally ’62 and Meredith (Bristow) Stevens ’62 made a generous gift and set the goal: If, in 2 days, 240 alumni stepped forward with an Annual Fund gift to any area of the University, the Stevenses would make a […]

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Teaming Up for Service

There’s more to PSU’s student-athletes than excellent grades and athletic prowess. There’s a desire to make a difference in the world. Plymouth State men’s hockey coach Craig Russell ’09 encourages his team to serve as often as possible. Through the nonprofit organization Team IMPACT, which pairs children with life-threatening or chronic illness with local college […]

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Beyond Granite: The Museum of the White Mountains Takes on STEM

As American students and workers fall behind their counterparts around the world in the science and technology fields, educators and policy makers have stressed the importance of strengthening our attention to STEM—science, technology, engineering, and mathematics. Exhibition curator Sarah Garlick writes about the connections between earth science, adventure, and the process of learning STEM in […]