Health Forms | Kean University World Class Education

Page Header

Health Forms

Page Sub Header

Health Services

Health Forms

BEFORE YOUR VISIT

Completing these necessary forms on the patient portal will help to make your visit faster. Please visit the Pyramed Patient Portal at kean.studenthealthportal.com 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 hsnurses@kean.edu, 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.

If forms are temporarily unavailable via the Pyramed Patient Portal, please print the following forms and have them filled out prior to your appointment.

PRIMARY CARE
Medical Information Form - all students who will be making their first visit to Health Services or any student who has had a significant change in their health status.
Medical Information Form
Billing Responsibilty

GYNECOLOGY
GYN Initial
GYN Annual

STD Clinic
STD Clinic

MEDICAL LEAVE OF ABSENCE
If student will be absent for two (2) weeks or longer, a medical leave of absence is suggested.
Student must be attending classes full-time or part-time during the fall or spring semesters only.  Medical leaves of absence are not available during the summer sessions.

The student must sign onto the Pyramed Health Portal, www.kean.studenthealthportal.com, and submit a secure message to a Health Services clinician to initiate this request. A medical authorization from his/her personal physician or medical care provider stating reason for leave can be sent to Health Services via our secure fax, (908)737-4894. Upon approval, copies are sent to the Registrar, Financial Aid, EOC, and Residential Student Services offices, if applicable.

SHORT-TERM ABSENCE DUE TO MEDICAL REASONS
If a student will be absent from class for five (5) consecutive days or more due to medical reasons a short term absence due to medical reasons is suggested.

The student must sign onto the Pyramed Health Portal, www.kean.studenthealthportal.com, and submit a secure message to a Health Services clinician to initiate this request. Medical documentation from his/her personal physician or medical care provider stating the reason for short-term absence including the dates of absence, can be sent to Health Services via our secure fax, (908)737-4894.

MEDICAL PARKING PERMITS
Any student, needing a temporary Medical Parking Permit should contact Disability Services. 
All faculty and staff should contact Human Resources.

IMMUNIZATIONS
Immunization Requirement Forms - 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.

 

Inner Page Footer