Northeastern University Health Report Requirements
This document outlines the vaccination requirements for students at Northeastern University. It includes essential instructions for completing the health report and immunization documentation. Adhering to these guidelines is crucial for attending classes and maintaining enrollment.
Edit, Download, and Sign the Northeastern University Health Report Requirements
Form
eSign
Add Annotation
Share Form
How do I fill this out?
Filling out this health report is essential for compliance with Massachusetts state law. Begin by providing accurate demographic information and ensure all vaccine details are correctly noted. Follow the outlined steps for submission to avoid registration issues.
How to fill out the Northeastern University Health Report Requirements?
1
Complete the requested demographic information.
2
Sign the consent form acknowledging treatment permissions.
3
Have your primary care clinician fill out the immunization form.
4
Double-check all entries for accuracy.
5
Submit the completed form by the specified deadlines.
Who needs the Northeastern University Health Report Requirements?
1
Undergraduate students entering Fall 2023 need this form to register for classes.
2
Graduate students who are starting in Spring 2024 must submit this form to ensure compliance.
3
International students at Northeastern University require this documentation for immigration purposes.
4
Returning students must provide updated immunization records each year.
5
Any student planning to attend in-person classes must comply with these health requirements.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Northeastern University Health Report Requirements along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.
Edit your Northeastern University Health Report Requirements online.
Editing this PDF on PrintFriendly is simple and user-friendly. You can modify the text, update personal information, and ensure all vaccination records are correct. With our intuitive editing tool, tailoring the document to your needs is a breeze.
Add your legally-binding signature.
Signing your PDF on PrintFriendly is quick and seamless. You can add your electronic signature directly onto the document, ensuring it's ready for submission. This feature simplifies the signing process, saving you time on paperwork.
Share your form instantly.
Sharing your PDF on PrintFriendly allows you to easily send it to others. You can share via email or a direct link, making collaboration effortless. This feature enhances the accessibility of your documents for easy review.
How do I edit the Northeastern University Health Report Requirements online?
Editing this PDF on PrintFriendly is simple and user-friendly. You can modify the text, update personal information, and ensure all vaccination records are correct. With our intuitive editing tool, tailoring the document to your needs is a breeze.
1
Open the PDF document in PrintFriendly.
2
Click on the text you wish to edit and update the information.
3
Make necessary changes to any fields, such as name or vaccination dates.
4
Review the document to ensure all edits are accurate.
5
Download the edited PDF for your records and submission.
What are the instructions for submitting this form?
To submit this form, email the completed document to immunizations@northeastern.edu before the specified deadlines. Ensure that you have included all necessary signatures and vaccination records. If you're submitting by mail, send it to the University Health and Counseling Services at 360 Huntington Ave, Boston, MA 02115.
What are the important dates for this form in 2024 and 2025?
Important deadlines for form submission are July 31, 2023, for Fall undergraduate students, and December 1, 2023, for Spring undergraduate students. Graduate students must submit their forms at least one month before their start date. Ensure you adhere to these deadlines to avoid issues with enrollment.
What is the purpose of this form?
The purpose of this health report is to ensure all students are vaccinated as required by Massachusetts law. Compliance with these immunization requirements is necessary for student health and safety. By submitting this form, students can maintain their enrollment status and prevent registration holds.
Tell me about this form and its components and fields line-by-line.
- 1. LAST NAME: The family name of the student.
- 2. FIRST NAME: The given name of the student.
- 3. MIDDLE INITIAL: The middle initial of the student.
- 4. HOME ADDRESS: The residential address of the student, including street, city, state, and zip code.
- 5. DATE OF BIRTH: The birth date of the student in MM/DD/YYYY format.
- 6. LOCAL CELL PHONE NUMBER: The cell phone number where the student can be reached.
- 7. PARENT/GUARDIAN NAME: Name of the student's parent or guardian.
- 8. PARENT/GUARDIAN TELEPHONE: Contact number for the student's parent or guardian.
- 9. EMAIL: Email address for student or guardianship contacts.
- 10. EMERGENCY CONTACT NAME: Name of a designated emergency contact.
- 11. EMERGENCY CONTACT TELEPHONE: Emergency contact's phone number.
- 12. SEX ASSIGNED AT BIRTH: Sex assigned at birth, either Male or Female.
- 13. GENDER IDENTITY: Student's self-identified gender.
- 14. NAME USED: Any name the student prefers to be known by.
- 15. PRONOUNS USED: Pronouns that the student identifies with.
What happens if I fail to submit this form?
Failing to submit this form can lead to serious repercussions regarding your enrollment status. Students who do not provide proof of required vaccinations will be prohibited from registering for classes. It is crucial to adhere to submission guidelines to avoid any disruption in academic progress.
- Registration Issues: Students will be unable to register for classes if immunization documentation is not provided.
- Class Attendance Prohibition: Without the completed health report, students may not attend classes.
- Health Compliance Problems: Lack of compliance with state regulations may result in further administrative actions.
How do I know when to use this form?
- 1. New Student Enrollment: Use this form during the enrollment process to submit vaccination records.
- 2. Annual Health Compliance: Complete this form annually to comply with state vaccination requirements.
- 3. Change in Health Status: Update this form if there are any changes to your vaccination history or health needs.
Frequently Asked Questions
What should I do if I lose my completed health report?
You can log into PrintFriendly, edit the form to re-enter your information, and download it again.
Can I submit this form online?
Yes, you can email the completed form to the designated University Health and Counseling Services email.
What happens if I miss the submission deadline?
Missing the deadline may result in being prohibited from registering for or attending classes.
Is this form required for online students?
No, this form is required for all in-person students attending classes.
How can I get help filling out this form?
You can contact University Health and Counseling Services for assistance with filling out the health report.
Is there a cost for submitting this health report?
There is no cost for submitting the health report to University Health and Counseling Services.
What vaccines are required?
Students must provide documentation for vaccines including MMR, Diphtheria, Tetanus, and others specified.
Do I need to provide my parent’s information?
Yes, if you are under 18 years of age, parental information will be required.
Can I edit my PDF after I've saved it?
Yes, you can reopen your PDF in PrintFriendly to make further edits at any time.
Are there any exemptions to the vaccination requirement?
Medical and religious exemptions may apply, but must be documented appropriately.
Related Documents - NU Health Report
All India Survey on Higher Education Data Capture Format 2019-2020
This file is the All India Survey on Higher Education for the year 2019-2020. It contains data capture formats for colleges and institutions affiliated by the university. The information includes college details, contact information, and geographical referencing.
Soquel High School Cheerleader Registration Packet 2024-2025
This file contains important information for students considering applying for the cheerleader position at Soquel High School. It includes dates, costs, and instructions for tryouts and participation. Make sure to review and get parental approval before proceeding.
Effective Summer Learning Program Planning Toolkit
This file offers guidance and evidence-based tools for delivering effective summer learning programs. It covers planning, recruitment, staffing, and more. The toolkit is designed for education leaders and program managers.
Student Application Form for Rand Training College
This file is a student application form for Rand Training College, including admission requirements and course details. It requires personal information, previous academic records, and other supporting documents. Complete the form to apply for courses offered by the college.
Special Education Evaluation Report - Vermont Agency
This file contains the Special Education Evaluation Report for a student named Mateo Velez. It includes details about the evaluation plan, team members involved, and assessment procedures used. The document is designed to determine the student's eligibility for special education services.
KinderCare Education Enrollment Agreement Form
This file is the enrollment agreement for KinderCare Education. It collects crucial information for your child's enrollment, classroom/program assignment, and compliance with childcare licensing regulations. Make sure to fill it out accurately to ensure a smooth enrollment process.
Bonafide Student Certificate & Scholarship Consent Forms
This file contains the Bonafide Student Certificate template, consent form for the use of Aadhaar/EID numbers in a state scholarship application, and an institution verification form for scholarship applications. It is intended for students applying for state scholarships and institutions verifying student information.
NIOS Prospectus 2011-12 for Gulf, Kuwait, Qatar
This file provides details and instructions for admission to the National Institute of Open Schooling (NIOS) for secondary and senior secondary courses in Gulf, Kuwait, and Qatar. It includes information on the admission process, available subjects, and other essential details. It is useful for prospective students seeking flexible and accessible education options.
Undergraduate Bursary and Loan Opportunities for 2024 at University of Cape Town
This file provides information about the bursary and loan opportunities available for undergraduate students at the University of Cape Town for the academic year 2024. It includes details about financial aid, scholarships, and bursaries offered by the university and external organizations. Students can find instructions on how to apply and important contact information in this comprehensive guide.
KBCNMU Permanent Affiliation Proposal 2024-25 Guidelines
This file provides detailed guidelines for filling out the Permanent Affiliation Proposal for 2024-25 for Kavayitri Bahinabai Chaudhari North Maharashtra University. It includes instructions for processing fees, submission process, and necessary documents. The document is essential for institutions seeking permanent affiliation with the university.
KVS Fee Collection and Surplus Funds Management 2014
This file contains information about the fee collection process through banks and the management of surplus funds for Kendriya Vidyalaya Sangathan (KVS). It details the pilot project, phases of implementation, and instructions for schools. It also includes guidelines for filling out student information online and tripartite accounts.
Clear Lake PTO Reading Support Coupon Book Sales Order Form
This form is used for purchasing coupon books to support reading programs at Clear Lake. The funds will help provide classroom assistance, technology for audiobooks, and more books for the library. Please fill out the form to help support the school.
