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Student Health

Health and Immunization Forms

Student Health Requirements
Personal Medical History and Physical Examination Form
Immunization Form
Tuberculosis Screening Form
Hepatitis B Policy
*This form should only be completed by individuals who test non-immune after two complete Hep B vaccination series. 
Hepatitis B Consultation Form
*This form should only be completed by individuals who test non-immune after two complete Hep B vaccination series.
Positive PPD Questionnaire
*This form should only be completed by individuals with positive PPD skin test.

 

Kathy Dalton
Student Health Coordinator - Virginia Campus
StudentHealth-VC [at] vcom.vt.edu
Fax: 540-231-6298

Sena Mazzoleni
Student Health Coordinator - Carolinas Campus
StudentHealth-CC [at] vcom.vt.edu
Fax: 864-804-6991

Kayron Campbell
Student Health Coordinator - Auburn Campus
StudentHealth-AC [at] auburn.vcom.edu
Fax: 334-442-4097