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, 2017 for Fall semester admits. Your form must include up-to-date immunization information as indicated. No substitute form will be accepted.

Please fill out the following form: 

PDF icon Medical History Form 2017.pdf214.68 KB