Pre-Enrollment Requirements

Prior to enrollment at Chapman University, the Health Record and Examination Form must be completed by your doctor, including dates of the required immunizations and the TB skin test.
Health Record and Examination Form (PDF)

Please return the completed form to Student Health Services at:

Student Health Services
402 N. Glassell
Orange, CA 92866

Failure to submit this form will prevent you from registering for classes.

If you are planning to participate in a team sport, please arrange to have a copy of this form sent to Pam Gibbons, Head Trainer of the Athletic Department.

Please feel free to Contact Us if you have any questions.

All medical information and medical files are strictly confidential.