
Health Forms
Health forms must be submitted prior to moving onto campus. Without your forms, you cannot have access to your Residence Halls or attend class. Due: July 1, 2025
The College requires all new incoming students (first-year and transfer) to complete essential health forms. Please complete the steps below by July 1 (for fall enrollment) or January 5 (for spring enrollment).
Information about Meningococcal Disease, Vaccination, and Waiver Form
The College and University Student Vaccination Act of 2002 in Pennsylvania prohibits a student from residing in college housing unless the student has received a one-time vaccination against meningococcal disease, or the institution provides detailed information on the risks associated with meningococcal disease and the availability and the effectiveness of any vaccine. The student must also sign a written waiver stating that the student has received and reviewed the information provided and has chosen not to be vaccinated for medical, religious, or philosophical reasons.
The Advisory Committee on Immunization Practices (ACIP) recommends that first-year college students living in residence halls should receive at least 1 dose of meningococcal conjugate vaccine (MCV4) before college entry. The preferred timing of the most recent dose is on or after their sixteenth birthday.
In accordance with the College and University Student Vaccination Act and ACIP, all students who will be living in college housing must submit proof of one dose of meningococcal conjugate vaccine that covers serogroups A, C, Y, and W since age sixteen. Students may request an exemption from this requirement if there is a medical contraindication to vaccination or if religious or philosophical beliefs prohibit immunization. The Meningococcal B vaccine (serogroup B) is a separate vaccine and is strongly recommended, although not mandatory at this time.
Prematriculation Immunization Policy
Policy for Exemption from Immunization
The health form contains the following information. Please make sure that all sections/forms are completed in their entirety.
As a single file, upload Health Form, Physical Exam, Immunization Record, Authorization for LVPG to Release Protected Health Information, Consent for Treatment, Medical Consent Authorization for Minor (if student is < 18 years of age), Medical Information Communication Preference, copy of Insurance Card (front and back) here.
Students must enter their Muhlenberg email when uploading the health form.
Health forms must be submitted prior to moving onto campus. Without your forms, you cannot have access to your Residence Halls or attend class. Due: July 1, 2025
To ensure a quick registration process, we encourage all students to have a “MyLVHN” chart. Please follow the steps below to update or create your MyLVHN chart.
Students who already have a MyLVHN chart because they have accessed medical care previously by an LVHN provider do not need to create a new MyLVHN chart. If you have a MyChart account, login and proceed. If you do not have a MyChart account, create an account (Click “New user? Sign up now”)
Add your Health Insurance information
Add your Personal Information
Complete your Communication Preferences Form
Login to waive or enroll in the student health insurance plan
**Special note for F-1 international students: Per visa requirements, F-1 students will continue to be automatically enrolled in the student health insurance plan. Students will expect to see the charge on their Fall billing statements. F-1 students WILL NOT need to enroll or waive this plan themselves since it will be automatic.
Updates regarding the status of your health form will be sent to your Muhlenberg email. Please check your Muhlenberg email regularly. You will receive an email to your Muhlenberg email address when your health form is complete. Students (including commuters) must have a completed health form in order to receive a room key on move-in day and to attend orientation.
Find information about the student health insurance plan offered at Muhlenberg College.