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

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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A Winning Team

Zara Jakubas ’16 and her sister Sunny ’18 grew up in Califon, New Jersey, a small Victorian-style town of just over 1,000 residents. It’s here that the two sisters took up tennis…

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Samuel Read Hall’s Second Act

The beloved residence hall is enjoying a new life as the campus hub for STEM programming. It’s a transformation that the building’s namesake would have certainly approved …

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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 […]