51³Ô¹ÏÍø

Required Forms

51³Ô¹ÏÍø uses Med+Proctor to verify your medical forms and immunization requirements. You must download and submit all required medical forms through this platform.

51³Ô¹ÏÍø requires the submission of the following:

• 51³Ô¹ÏÍø-specific Medical History form found on Med+Proctor site
• Immunization Certificate form or official vaccine records, blue cards, yellow cards, and state immunization records are accepted.
  • (Required: Two doses of MMR, one dose of Meningitis ACWY within last 5 yrs, Two doses of Varicella, and a Tdap within ten years).
• NYS Meningitis Response form found on Med+Proctor site
• TB Screening Questionnaire (done within your MedProctor registration)
  • Submission of TB testing (if required) based on your answers to the TB Screening Questionnaire

This service is free, but an optional one-time fee comes with lifetime access to your records if you choose. If you are not interested in lifetime access, look for the option to decline.

Med+Proctor Instructions

All incoming students are required to use to submit medical/immunization records. Submitting this information is easy. We will provide a login link as soon as the Med+Proctor system is available for use.

• If you have not submitted your paperwork to Med+Proctor, please register with them and submit the required forms using the instructions above.
• Only the immunization form requires a healthcare provider's signature. A copy of a printed immunization record from an electronic health record or an official immunization booklet is also acceptable and does not require a healthcare provider's signature.
• If Med+Proctor has notified you that you require a vaccine or TB test you cannot access at home, please contact Student Health Services directly through your or studenthealth@colgate.edu.
• If you have submitted your paperwork to Med+Proctor, please check your email for messages from them or log into your Med+Proctor account to identify what is missing from your submission.
• If your account states "Verified," you have submitted all the required paperwork and comply with the required immunizations. Please allow us at least three business days to process your paperwork and update your checklist.
   

If you have questions, you can live chat with Med+Proctor during regular business hours.

Medical or Religious Exemptions

If you are applying for a medical or religious exemption for any immunizations, do not submit this through Med+Proctor, as they will not process it. 

Submit your forms online using the my51³Ô¹ÏÍøHealth Patient Portal or email your completed form (see below) to: studenthealth@colgate.edu.

Submit Additional Forms

Some students need to share additional medical information with Student Health Services for continuity of care while at 51³Ô¹ÏÍø, such as:

• Allergy injection records and orders
• Medication Infusions (Remicade, etc.)
• Medication injection records and orders (Humira, Somponi, Dupixent, Stelara, Tremfya, Depo-Provera, Xolair)
• Documentation of any medical conditions for which you will need Student Health Services to provide prescriptions or ongoing care

Submit your forms online using the my51³Ô¹ÏÍøHealth Patient Portal or email your forms to: studenthealth@colgate.edu.

Additional Information