Health Forms
Before Your Visit
Completing the 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.
Required Forms for Students Under Age 18
Students under the age of 18 require parental consent for medical evaluation. If you are under the age of 18 at the time of your appointment, your are required to print the Consent for Treatment Form and have your parent or legal guardian complete it before your appointment. Upon completion upload form to kean.studenthealthportal.com. Minor students can not be seen for medical evaluation without consent.
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.
Request A Copy of Your Medical Record
You have the right to access your medical records.
Our health care providers may send a copy of your record to another provider only as needed for continuation of treatment or care with your permission. An Authorization to Release or Exchange Confidential Information form must be filled out completely in order to process this request.
Immunization 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.
- Meningitis Survey — Students living in University housing are required to submit the Meningitis Survey within the Immunization History form in the patient health portal.
- Waiver of Immunizations for Medical or Religious Reasons
- Immunization Referral List
- Waiver for Students Taking Online Courses