Health Forms & Policies

Starting in April, 2019, all required health forms are to be submitted through the following link: https://goucher.medicatconnect.com

Following the above link, you can use your official Goucher College ID and password to log-in.

In order to provide the best possible medical care, we require each incoming student to complete the required forms which include Medical History (online survey) and Physical Examination and the Immunization Record on or before July 19th (for Fall 2019). These forms are available at https://goucher.medicatconnect.com

***PLEASE NOTE, STUDENTS WHO HAVE NOT TURNED IN VACCINATION RECORDS FOR THE FOLLOWING MANDATORY VACCINES: MMR, TETANUS, & MENINGITIS (waivable) WILL NOT BE PERMITTED TO MOVE ONTO CAMPUS. If you are seeking a vaccine exemption for MMR or Tetanus, you must contact the Director of Student Health @ carrie.ent@goucher.edu to discuss your exemption and recieve the proper form (religious/medical ONLY)

The physical examination is to be completed by a physician, nurse practitioner, or physician’s assistant of your choice. Please use the form provided by Goucher College.

Goucher’s immunization requirements follow guidelines set by the American College Health Association and the Centers for Disease Control and Prevention. Immunization requirements may vary from state to state; we therefore recommend that your health care provider review our form carefully, assess your status, and update your immunizations as needed to fulfill our requirements. Please see Goucher’s immunization policy (PDF).

State law requires that any individual enrolled in a Maryland institution of higher education who resides in on-campus housing must be vaccinated against meningococcal disease, or sign a waiver, which can be completed at https://goucher.medicatconnect.com.

Along with the medical history, physical, and immunization information, it is a requirement that all incoming students have health insurance and provide a copy of their health insurance information.

Students who fail to return their forms, or who are not in compliance with our immunization requirements, will be assessed a non-compliance fee of $100 on 12/3/2019. These student will also not be permitted to register for the following semester until requirements are met.

Students are strongly encouraged to get the seasonal flu vaccine prior to coming on campus in the spring.

Required Health Forms

(also available at https://goucher.medicatconnect.com)

Insurance Form

Additional TB testing (If screened med-high risk)

Immunization Record

Physical Exam form

Miscellaneous Health Center Forms (not required)

Authorization for Release of Confidential Records and Information (PDF)

Vaccination Parental Consent Form (PDF) (For students under 18 years old)

Additional Policies

Chaperone and Sexual Abuse Prevention Policy (PDF)