Congratulations on your acceptance to Career and Community Studies (CCS) and welcome to The College of New Jersey! Incoming CCS students are required to complete TCNJ pre-entrance health requirements as a pre-requisite to attending classes.
DUE DATE: July 15
Required Health Forms
All forms listed below except the New Student Medical History are pdf files that can be viewed & printed out (but not filled out online). If you click on the form and it does not open, you may not have a pdf reader program installed on your computer. For free download of Adobe Reader, click HERE.
Student Health Services is committed to protecting the privacy & confidentiality of all patient health information.
|FORM||ABOUT||HOW TO SUBMIT|
|Record of Immunization (pdf)
||This is a form that you print out and is completed, signed & stamped by your health care provider or a registered nurse. You must receive any required vaccinations that you are missing.
Emailed, faxed, or mailed forms will NOT be accepted.
|ENTER DATES & UPLOAD FORM INTO OWL:
Log in to OWL using your TCNJ email user name and password.
1) With your completed Record of Immunization in front of you, click on Immunization, then on Enter Dates. Enter the dates and then click Submit.
2) Click on Upload at the top of the page and follow the directions to upload the Record of Immunization into OWL. You can also upload other related forms such as laboratory reports. Your immunization dates will be verified by our staff once we receive the Record of Immunization & an email will be sent to your TCNJ email account. Please check this email account frequently!
For a Step-By-Step Guide on how to submit health requirements with screen shots of OWL, click HERE (pdf).
|New Student Medical History||This is a confidential form about your personal & family medical history. It is important that you answer these questions truthfully and to the best of your ability. This information is only seen by Student Health Services’ physician, nurse practitioners, and nurses.||THIS FORM IS ONLINE.
Log in to OWL using your TCNJ email user name and password. Click on Forms at the top of the page and then on New Student Medical History.
–When answering the Tuberculosis (TB) Screening Questionnaire section, OPEN & VIEW Countries With Moderate to High TB Incidence Rates (pdf) to answer the 3rd and 4th questions in this section.
–To answer the Meningococcal Disease & Vaccination question, OPEN & READ the Meningococcal Meningitis Fact Sheet (pdf).
When the form is complete, click SUBMIT.
|Physician’s Evaluation for Tuberculosis (pdf)||This form is required ONLY if you answered YES to one or more questions on the Tuberculosis (TB) Screening Questionnaire in the New Student Medical History. Print out the form and take it to your healthcare provider to be completed, signed and stamped. If you answered NO to all questions on the TB Screening Questionnaire, do not print out this form.
Emailed, faxed, or mailed forms will NOT be accepted.
|UPLOAD INTO OWL:
Once the form is complete, log in to OWL using your TCNJ email user name and password. Click on Upload at the top of the page and follow the directions to upload the Physician’s Evaluation for Tuberculosis. You can also upload other related forms such as laboratory reports & chest x-ray report if indicated.
|CCS Consent, Waiver & Release Agreement for students with NO Legal Guardian(pdf)||This form is required for CCS Students who do NOT have a court-appointed legal guardian. Print out the form and complete it. This agreement is effective for one academic year. It must be submitted every year prior to the start of the Fall semester. For more information, click HERE.||UPLOAD INTO OWL:
Once the form is complete, log in to OWL using your TCNJ email user name and password. Click on Upload at the top of the page and follow the directions to upload the “No Legal Guardian: CCS Consent, Waiver And Release”.
|Consent, Waiver and Release Agreement for CCS Students WITH Legal Guardian (pdf)||This form is required for CCS Students who have a court-appointed legal guardian. Please note that students with a legal guardian can ONLY be seen in Student Health Services if accompanied by their legal guardian.||UPLOAD INTO OWL:
Once the form is complete, log in to OWL using your TCNJ email user name and password. Click on Upload at the top of the page and follow the directions to upload the “Legal Guardian: CCS Consent, Waiver And Release”.
MEDICAL EXEMPTIONS FROM REQUIRED VACCINATIONS
Students are not required to have any vaccinations that are medically contraindicated. To apply for a medical exemption, the student must provide Student Health Services with a letter from their healthcare provider with the information:
- the name of the vaccine that is medically contraindicated,
- the specific period of time that the vaccine is medically contraindicated,
- the reason(s) for the medical contraindication based upon valid medical reasons as enumerated by the United States Department of Health and Human Services, Advisory Committee on Immunization Practices (ACIP). For current ACIP immunization schedules and recommendations, including contraindications, click HERE.
Applications for medical exemptions are reviewed by the director of Student Health Services and the student will be notified of her decision via TCNJ email. If approved, the student will be exempted from the specific immunization permanently (in the case of a permanent medical condition) or temporarily until such time that the student’s medical condition permits vaccination.
The College of New Jersey may temporarily exclude a student with a medical exemption from vaccination from classes and from participating in college-sponsored activities during a vaccine-preventable disease outbreak or threatened outbreak. The decision to exclude a student with a medical exemption will be made by the College in consultation with the New Jersey Commissioner of Health.