Immunizations and Medical History
All incoming students are required to submit two completed forms: the Immunization Record and Medical History Form. Beginning spring 2021, both forms can be completed and submitted electronically. Failure to complete either form will result in a hold preventing class registration for future semesters.
If you were previously an undergraduate or graduate student at the University of Delaware and previously submitted immunization and medical history information, please contact us so that we can check and see if the information you have on file meets current requirements. Please be sure to include your full name and University of Delaware ID Number. If you do not know this number, please tell us your date of birth.
Both forms are submitted within the Secure Student Health Portal. To log in, you will need to enter either your UDelNetID (username) and Password or your UD ID (usually a nine digit number beginning with 7) and your Pin. If you are an incoming undergraduate student and your University of Delaware accounts are not yet activated, please do so at the following site:
If you are a new undergraduate student and still have difficulty setting up your University of Delaware account, please contact admissions@udel.edu.
If you are an incoming graduate student and your University of Delaware accounts are not yet activated, please refer to your admission letter that gives the instructions for the setting up of your UD accounts.
Immunization Record
This includes details about past immunizations and other basic information including a consent to treat from a parent or guardian if you will be under 18 when you arrive on campus. Please note that this form needs to be signed by a health care provider (a physician, nurse practitioner, physician assistant or nurse).
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- Download Adobe Acrobat Reader from UDeploy or use another PDF program such as Acrobat
- Download the Immunization Record [PDF]
- Open, fill out and save the completed PDF form using Adobe Acrobat Reader (Tutorial here)
- Log into the Secure Student Health Portal
- Navigate to the Medical Clearances page and click Add immunization documentation form… to upload your signed and completed Immunization Form
- In addition to uploading your form, update each of your immunization clearance items to reflect the information on your completed form. This is done by clicking the Update button to the right of each item and keying in the relevant data.
If you are unable to upload the PDF within the portal, the form can be faxed to 302-831-6407 or mailed to:
Student Health Services
Laurel Hall, 282 The Green
University of Delaware
Newark, Delaware 19716-8101
Medical History Form
- Log into the Secure Student Health Portal
- Navigate to the Medical Clearances page and complete the Health History Form
- If you need to make any changes or updates to your medical history after submitting the form, that can be done on the Health History page.
- If you are unable to access the portal, the PDF version of Medical History Form can be submitted using the instructions for the Immunization Record
