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Requirements for New Students

Health Services seeks to ensure a safe, healthy environment for the entire campus community. In order to do so, there are forms that are required of every undergrad and seminaian which you will find for downloading below. Please read everything carefully and submit the information by your Student Orientation date.

Meningococcal disease is a potentially life-threatening bacterial infection. The disease is most commonly expressed as meningococcal meningitis, an inflammation of the membranes surrounding the brain and spinal cord, or meningotoccemia, the presence of bacteria in the blood. Recent research has shown that students living in residence halls, particularly first-year students, are at a higher risk than university students overall.

Maryland law requires that an individual enrolled in an institution of higher education in Maryland and residing in university housing must be vaccinated against meningococcal disease. The student (or guardian if under the age of 18) may choose to waive the vaccine if he or she has reviewed information regarding the risks of meningococcal disease and all students are to sign the meningitis waiver form (Page 4) that he/she has chosen to waive the vaccination.

Required Health Forms

For undergraduate students and seminarians entering the Mount in the fall, the following forms are
due at student Orientation.

Print and complete these required forms:

Cover Letter —Important to read first

Health History Form (.pdf page 1)

Physical Examination Form (.pdf page 2)

Immunization Form (.pdf page 3)

Meningitis Information/Waiver (.pdf page 4)

Emergency Information (.pdf page 5)

► Requirements Dos and Don'ts (.pdf page 6)

If you will not be attending Orientation, please mail your forms to:

Mount St. Mary's University
Attention: Health Services
16300 Old Emmitsburg Road
Emmitsburg, MD 21727

Faxed forms are not accepted!

16300 Old Emmitsburg Road | Emmitsburg, MD 21727
Map & Directions | | 301-447-6122
Frederick Campus | 5350 Spectrum Drive | Frederick, MD 21703
Map & Directions | | 301-682-8315