University of Southern California
Eric Cohen Health Center

Health Clearances - (323)442-5980

New/Matriculating Student Requirements
The following forms are available for download and should be faxed to (323) 442-6287 upon completion.

General Form Instructions  
Physical Examination Form  
Health History Form  
Immunization Records  
Hepatitis B Vaccination Agreement/Refusal Form  
Meningococcal Refusal Form  

Visiting Students (2 Forms)

General Instructions  
Immunization Records  

Download Acrobat
These forms are presented using Adobe Acrobat. You will need a copy of Acrobat in order to view or print these files. You can download Acrobat for free by choosing one of the methods below:

Download Acrobat from Adobe

Download Acrobat from USC ITS

To all students:
Once you have submitted your forms, you may check your clearance status on WebMediEase by going to https://studenthealth.usc.edu