Health Evaluation

Mandatory Health Evaluation Form

 

 

What MUST be included in the full Health Evaluation form package:

1. Page one(1) of the Health Form (Completed by the Student)

2. Proof of two(2) MMR Vaccines (Immunization Record)

3. Required TB Test (Within 12 months) 

4. Required Physical Exam (Within 12 months)

 

 

Email the completed form with additional documents to: healthservices@alasu.edu

*Be sure to include your Full Name and Student ID Number 

 

 

To download the Health Form  
 

Click Here