New Students

 

310 E. Market Street
Tiffin, Ohio 44883
Phone:  (419) 448-2042
Fax:  (419) 448-2372

 

Welcome to Heidelberg College and the Heidelberg College Health Center!
As you begin your college experience, please note that several health requirements must be met before your arrival in August.

 
 
ALL STUDENTS, including athletes and commuters, must return the following information by July 1st in the enclosed self-addressed stamped STONER HEALTH CENTER envelope.  Additional copies of the forms can be obtained online at www.heidelberg.edu/studentlife/healthservices/healthforms
 
1.  A completed Medical History Questionnaire Form ( 2 pages)
   **Please note that your childhood immunization record dates for MMR, Polio and DPT (Pg. 2 of the Medical History Questionnaire)  may be  obtained by requesting a copy of your immunization record from your high school.
 
             Immunization Requirements: 

  • Updated Tuberculin Skin Test (Mantoux).  Must be administered after February 2008 or request that the Health Center provide the testing shortly after the new student’s arrival at Heidelberg College by completing the Informed Consent for Vaccination/Tuberculin Testing Administration form.  No earlier dates will be accepted. 
  • Updated Tetanus/Diphtheria Booster.  Date of most recent vaccination must be within the past 10 years to be acceptable or request that the Health Center provide the vaccination shortly after the new student’s arrival at Heidelberg College by completing the Informed Consent for Vaccination/Tuberculin Testing Administration form.  No date earlier than 1999 will be acceptable. 
  • Varicella (Chicken Pox).  No vaccine is necessary if you have had the disease.  Vaccination is required if you have not had chicken pox and have not previously received the vaccination.
  • Meningitis (Menactra) & Hepatitis B vaccination series are HIGHLY RECOMMENDED but NOT required at this time.

 
2.  Informed Consent for Vaccination Administration (enclosed).
*Please note that we offer the above vaccinations and/or tuberculin testing through our Health Center for your convenience.  If you choose to wait and have the Health Center personnel administer your vaccinations and/or tuberculin testing, please complete the enclosed Informed Consent for Vaccination Administration Form with your vaccination requests marked appropriately.  We will administer your requested vaccinations and/or tuberculin test shortly after your arrival.
 
3.  A Copy of your Medical & Pharmacy Insurance Cards.
 
4.  ATHLETES ONLY:  Please read and complete the forms for athletes only including:  the Preparticipation History and Preparticipation Physical Evaluation Forms signed by an MD or DO (No chiropractic exam will be accepted), Emergency Information Card (front and back sides), and a signed Acceptance of Risk/Medical Authorization Form.  Please include these completed forms in the self-addressed stamped envelope to the Stoner Health Center and include your Medical History Questionnaire and the Informed Consent for Vaccination Administration Form.  Do not return any forms until all are completed.   Incomplete forms or not physical examination will restrict you from participating in any practices or games.
 
     If you have any questions, please call Bonnie Shawberry, RN, MA (419) 448-2042 and leave a voice message with your name, phone number and the most convenient time to reach you.  You may also send an email message to:  bshawber@heidelberg.edu.  We look forward to meeting you soon.