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New/Matriculating Student Requirements
The following forms are available for download and should be faxed to (323) 442-6287 upon completion.
General Form Instructions
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Physical Examination Form ![]() |
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Health History Form ![]() |
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Immunization Records ![]() |
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Hepatitis B Vaccination Agreement/Refusal Form ![]() |
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Meningococcal Refusal Form ![]() |
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Visiting Students (2 Forms)
General Instructions
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Immunization Records ![]() |
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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