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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

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.