Health History and Physical Examination Form


Your ability to register for classes and eligibility for financial aid and campus housing depend on your compliance with the health requirements noted below. These requirements MUST be fulfilled upon your arrival in Binghamton and prior to your registration for classes:

  • Proof of immunity to Measles, Mumps and Rubella for all students born on or after January 1, 1957.
  • Completion of the Meningitis response form
  • Completion of the Tuberculosis Screening Form and PPD (tuberculin skin test – if indicated). If a skin test is indicated, IT MUST BE DONE IN THE US - do not get  done in your country because you will have to repeat it.
The required forms can be downloaded at

Decker Student Health Services Center at Binghamton University can provide the required vaccination for Measles, Mumps and Rubella (one vaccine covers all three) AND the tuberculin skin test at no charge to you. It is strongly recommended, but not required, that you obtain a physical exam. Since this service is not offered on campus it is best to obtain at home prior to your arrival. It can be very expensive off campus and your insurance may not cover it.

You may mail, fax or submit as an e-mail attachment your forms to:

Decker Student Health Services Center
Binghamton University
Box 6000
Binghamton, New York 13902-6000

Fax 607-777-2881

Please direct any questions you may have to Health Services at 607-777-2221 or by email to Business hours are Monday through Friday, 8 am – 4:45 pm (3:45 pm in the summer and during the winter break).

Last Updated: 8/28/14