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8/13/2019 Shs Metro 20101119 Cover Letter
1/1
Rev. 11 (2010-11-19)
Madison, New Jersey Teaneck, New Jersey Vancouver, Canada Wroxton, England
Dear Student,
The Student Health Services staff welcomes you to the University and we offer our support in any
way possible during your study at Fairleigh Dickinson University. If you have special needs orrequire assistance with a medical problem, please do not hesitate to contact us before your
arrival.
Enclosed you will find the required health forms (6 pages). Please complete the Student Profile,
Medical History, and Meningitis Response Form yourself. Your health professional will need to
complete the Physical Examination and the Immunization Record forms. To assure your safety
and that of your classmates, the N.J. Department of Health requiresevidence that you have
received two measles vaccinations and at least one vaccine for both mumps and rubella after your
first birthday, or proof of immunity to all three diseases through a blood test. The New Jersey
Department of Health requires evidence that you have received three doses of the Hepatitis B
series. The N.J. Department of Health also requires that all new students, who reside in University
housing, receive the meningitis vaccine as a condition of enrollment.
Please understand that you will not be permitted to register for class or reside in FDU housing until
the health forms and immunization records are completed and received.
Completed health forms are due:
July 15thfor Fall December 1stfor Spring April 15thfor Summer
NOTE:
If you are a non-matriculating student, in a certificate program, or are a conference
participant, you are exempt from the requirements.
Medical records are strictly confidential and are used exclusively by the Student Health Service to
provide personalized care. Immunization records are an exception and are not confidentialsince
your immunization status must be made available to state inspectors and select University offices in
order to comply with New Jersey state law. We strongly recommend that you keep a copy of your
immunization records.
Your cooperation is greatly appreciated. For more information about immunization and medical
requirements and/or to download the required forms, please visit our website at
http://alpha.fdu.edu/wellness.
Please forward your originalcompleted Medical forms to the proper address below.
Student Health Services (SHSMetro)
FDU: Metropolitan Campus
1000 River Road, T-SU2-03
Teaneck, New Jersey 07666-1914
(201) 692-2437
Wellness Center
FDU: The College at Florham
285 Madison Avenue, M-WE0-01
Madison, New Jersey 07940-1006
(973) 443-8535