» Health Record Form

As part of the enrollment process at Chapman University students are required to complete a Health Record and Immunization formPlease complete form online and submit any immunization records to Student Health Services at:

Student Health Services 
402 N. Glassell
Orange, CA 92866

Failure to submit form may delay your ability to register for classes.

If you are planning to participate in a team sport you are required to submit an Athletics Physical Exam Form. Pam Gibbons, Head Trainer of the Athletic Department will provide the form.

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

All medical information and medical files are strictly confidential.