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Documents & Forms

FAX: 1-888-972-1736

The Health Office oversees the initial and annual clearance process for clinical participation or fieldwork for all students enrolled in a health or education related program. Certain requirements must be met yearly to protect you and the people you work with. Learn more and get the paperwork you need here.

Program-Specific Forms

Please upload all paperwork to castlebranch. Refer to nursing page for additional information.

NURSING PAGE

Other Forms

Hepatitis B Response

Meningitis Response

Student Declination Form for Hepatitis B

Authorization for Release of Medical/Immunization Records

Physical Exam form for Athletics

Contact Us

Health Office

Orcutt Student Services Center, Room 110
Mon. - Fri. 8:30 a.m.-4:30 p.m. 

Phone: (845) 431-8075
Email: healthoffice@sunydutchess.edu

53 Pendell Road
Poughkeepsie, NY 12601

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