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Required Immunizations & Health Forms

New Students: Immunization and Health History Requirements

The Student Code of Conduct requires that all students submit a record of their immunizations and  complete a health history through the Duquesne University Health Service electronic medical record system. Students have access to a Health Service Student Portal through DORI. Access the Portal by using your multipass log in, select the Student Tab, and then under Student Connections select "Health Service Student Portal". Through this portal, health history and immunizations can be submitted and hard document copies uploaded for easy verification by health service staff.

The provision of this information does not require a physical exam; but simply an online submission of a health history and record of immunization. You must submit this information before you can register for classes.                                            

Immunization Record: Immunizations must be manually entered through the Health Service Student Portal. You must also UPLOAD through the Health Service Student Portal, a hard copy immunization document with a Health Care Provider Signature on the form or official documentation. (you may provide written proof of dates of immunization from one of the following: Official School health record, Physician record on letterhead [EHR printout from physician office records], International Health Certificate, Official state certificate, Health Passport, Baby Book.) cited: Pennsylvania Department of Health State Immunization Code 23.82

This link will take you to the Instructions for Health Service Student Portal

 Pre-clinical Requirements

Complete these forms only if admitted to the school of nursing, or entering the professional phase of schools of pharmacy and health sciences.

MYLAN SCHOOL OF PHARMACY

Mylan School of Pharmacy pre-Clinical Health Requirements Form 

Mylan School of Pharmacy Annual TB Form

All Pharmacy prior to their professional phase (generally 2nd to 3rd year)students should review the form as they must meet the additional requirements listed on it.

-RANGOS SCHOOL OF HEALTH SCIENCE

Rangos School of Health Science Pre-Clinical Health Requirements Form

Rangos Health Science students ONLY must complete this form .

DUQUESNE UNIVERSITY SCHOOL OF NURSING

Undergraduate Nursing- Freshman/Transfer/Second Degree Nursing Pre-Clinical Health Requirements Form

Undergraduate Nursing- Sophomore Pre-Clinical Health Requirements Form

Undergraduate Nursing- Junior Pre-Clinical Health Requirements Form

Undergraduate Nursing- Senior Pre-Clinical Health Requirements Form

Nursing (UNDERGRADUATE ONLY) Students should review the form as they must meet the additional requirements listed on it.

If you aren't sure if you should complete this form, please call the Coordinator for Pre-Clinical Requirements, 412.396.1650.

Please open and complete forms, then upload to the Health Service Student Portal.(follow directions stated above)

Graduate Nursing Pre-Clinical Health Requirements Form

RN/BSN Nursing Pre-Clinical Health Requirements Form

Nursing (GRADUATE ONLY) Students should review the form as they must meet the additional requirements listed on it.

If you aren't sure if you should complete one of these forms, please call the Coordinator for Pre-Clinical Requirements, 412.396.1650.

Please open and complete forms, then upload to the Health Service Student Portal.(follow directions stated above)