History and Physical Exam Form
This Health Services Form (fillable PDF or printed), used to update your history and physical as required by sites for your clinical rotations, should be returned to Health Services via email only after both student and physician sections are complete.
Alternatively, a complete history and physical from your physician using the physician’s own template may be used.
Please click on your school's links below.
School of Medicine
SOM Incoming Health Services Packet
Touro College of Dental Medicine at NYMC
TCDM Incoming Student Health Services Packet
School of Health Sciences and Practice
Public Health Incoming Student Health Packets
DPT Incoming Student Health Services Packet
SLP Incoming Students Health Services Packet
Graduate School of Biomedical Sciences
GSBMS Non CLS Incoming Students Health Services Packet
GSBMS CLS Incoming Students Health Services Packet
GSBMS – All Non-Matriculating Incoming Students Health Services Packet