Massachusetts law requires all University students to provide documentation of vaccination against Hepatitis B, Measles, Mumps, Rubella, Meningitis, Tetanus, Diphtheria, Pertussis and Varicella. Please complete the below form, sign the consent (page 1), and have your primary care clinician complete the state-mandated immunization form (page 2).  The completed University Health Report can be returned to University Health and Counseling Services by mail, email UHCS@northeastern.edu or fax 617-373-2601.

University Health Report

 

Deadlines

June 30, 2018                         For UNDERGRADUATE STUDENTS entering the University in Fall 2018.

December 1, 2018                   For all UNDERGRADUATE STUDENTS entering the University Spring 2019.

GRADUATE STUDENTS must return the form no later than one month before entering the University.