Before you come to the United States, you must scan and email a completed Worcester State University Health and Immunization Form to ieli@worcester.edu. You and a doctor in your native country must complete the Worcester State University Health and Immunization Form, which is available for download below:
Health & Immunization Form
For this form, there are sections that you, the student, complete and that your doctor completes.
Student completes: Part I: General Information Part II: Medical History
Doctor completes: Part III: Physical Examination (signed and dated) Part IV: Immunization Records (A-D) Part V: Tuberculosis Risk Questionnaire
All full-time students on a visa can use Worcester State University’s Health Services, which is located on the 1st floor of the Sheehan Hall residence hall. There is a $55 fee for health services that all full-time students pay each fall and spring semester. You will pay this fee when you pay your tuition in the IELI office.
