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Health Forms

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Student Health Services

Health Forms


Completing the necessary forms on the patient portal will help to make your visit faster. Please visit the Pyramed Patient Portal at to begin.

All students must bring their Kean University ID and their health insurance card, if necessary for the appointment, with them to Health Services on the day of their appointment.

Important: If you are under the age of 18 at the time of your appointment, please print this form and have your parent or legal guardian complete it before your appointment. You can email the completed form to, fax it to our office at 908-737-4888, or bring it with you to your appointment. Minor students can not be seen for medical evaluation without consent. Students under the age of 18 require parental consent for medical evaluation.


Medical Leave of Absence

Visit the "Our Services" link on the right side of the page for information on how to submit a request to the Student Health Services.


Immunization Forms

Immunization Requirement Form 

All students must submit the appropriate immunization forms to comply with the state's regulations in order to register for future classes and receive grades.

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