Health Service Student Portal & 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 using multipass log in, going to the Student Tab, and then clicking on "Student Connections." Through this portal, health history and immunizations can be submitted 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: Must be submitted through the Health Service Student Portal. You must also submit a hard copy by mail, fax, or in person with a Health Care Provider Signature on 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, 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 Health Service Student Portal
Complete this form only if you have been directed to do so by your individual school or program. (This is not required for all new students)
MYLAN SCHOOL OF PHARMACY
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 Health Science students ONLY must complete this form .
DUQUESNE UNIVERSITY SCHOOL OF NURSING
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, print, and mail or fax to the attention of Pre-Clinical Requirements Coordinator in Health Service. (Fax number and address are on the forms.)
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.
Some personal computers have software programs that permit saving the completed documents. Completed & saved documents can be sent electronicaly to: firstname.lastname@example.org