Medical History Form

Let us better assist you on your path to health and wellness.

All undergraduate students enrolled at SMC are required to submit a fully completed Medical History Form to the Health & Wellness Center by August 15 for fall semester admits. For Jan Term and Spring, forms should be submitted by January 5 and February 1 respectively. Your form must include up-to-date immunization information as indicated. No substitute form will be accepted.

Please fill out the following form: