Incoming Students

Welcome new Mustangs!

Below please find a checklist of all the forms that you need to submit prior to arriving on the Hilltop. Please electronically sign and submit or email forms to healthcenter@smu.edu. Forms may also be mailed to the following address:

Dr. Bob Smith Health Center
P.O. Box 750195, Dallas, Texas 75275-0195
 

Allow a minimum of seven (7) business days for delivery if mailed from a location within the United States and two (2) business days if electronically submitted, faxed, or emailed. If possible please submit at least two (2) weeks prior to your orientation/registration. SMU is not responsible for forms not received due to mail misdirected or lost in transit. Incomplete or illegible submissions will not be processed.

  •  For verification. You may check your My.SMU account after submitting your Health Form to verify receipt and completeness by going to: My.SMU Student Homepage > Health Center > Health History.
  • If you have any questions please email us at healthcenter@mail.smu.edu and include your name, date of birth, and SMU ID number.

Health History Form

Please fill out and submit a completed and signed copy of the SMU Health History Form.

  1. Click the button below to begin electronically signing the form. You may also download the Health History Form to print, fill out, and send back to us.
  2. If you are under the age of 18, include your Parent/Guardian Name and Email address in the form. A Parent/Guardian is required to sign the form of any student under the age of 18. The Parent/Guardian will receive notification via the email provided to electronically sign the form. *The form will not be submitted until after the Parent/Guardian signs the form.
  3. Submit verification of the following vaccinations. Attach official immunization record to the form OR complete the form and send a completed copy to your doctor for signature and stamp. Then email the document to healthcenter@smu.edu.
  4. Meningitis vaccination (Under 22). YOU MUST SUBMIT PROOF OF VACCINATION (OR BOOSTER SHOT WITHIN THE LAST 5 YEARS) TO THE SMU STUDENT HEALTH CENTER PRIOR TO REGISTERING FOR CLASSES.
  5. MMR #1 & MMR #2
  6. If you answer YES to any of the TB questions, the results of a TB skin test within the past 6 months is REQUIRED. Attach official TB skin test results to the form.

Once submitted, the Health Center automatically receives a secure copy of your health form. However, if a parent/guardian signature is required, the completed form is not submitted to the Health Center until the parent/guardian electronically signs the document; once the form is complete (and your parent/guardian has signed the form) you will also receive a copy via email.

Electronically Fill & Sign the Health History Form

Student Health Insurance (REQUIRED)

We have a Mandatory Health Insurance Policy which requires ALL students to maintain and document proof of current health insurance in My.SMU every semester. Students must either enroll or waive the Student Health Insurance Plan (SHIP) in the "Student Center" component of Access.SMU AFTER they enroll for classes each term.

Visit Our Health Insurance Page for More Information

Allergy Injection Release Form

Students Requiring Allergy Injections

We can administer allergy immunotherapy prescribed by an outside doctor. Injections can be continued on a schedule that has been established by your allergist or treating physician. Our guidelines require several pieces of documentation in order for our staff physicians to supervise the injections. They are as follows:

  1. The name, address, phone and fax number of your treating physician.
  2. An antigen injection schedule - this should include an area to record the date, antigen, dilution, dosage and injection site.
  3. Antigen administration instructions - any routine or special instructions for our nursing staff should be included here.
  4. Instructions for missed doses, local or systemic reactions.
  5. A copy of the note from your last clinic visit with your physician.

We will require these five pieces of documentation for all students who wish to receive continuous allergy immunotherapy at the Health Center. Initial injections should be given at your own physicians’ office. The health center will not initiate immunotherapy. If a student has an allergy gap of greater than 60 days should visit with their private physician prior to receiving an injection at the Health Center.

Download the Allergy Injection Release Form Here