Completing and Submitting the Form

How do I fill out the 2024-2025 New Student Vaccination and Tuberculin form, and the Varsity Student Athlete Physical Examination form?

Who must complete the 2024-2025 New Student Vaccination and Tuberculin form and Varsity Student Athlete Physical Examination form?

All incoming students must complete the 2024-2025 New Student Vaccination and Tuberculin form, regardless of age or insurance status. This includes undergraduate students, graduate students, and students who are returning to MIT after a leave of absence of a year or more.

The Varsity Student Athlete Physical Examination form is only required by students who will be playing varsity sports.  

I received my undergraduate degree from MIT; now I’m returning as a graduate student. Since I submitted my Medical Form when I entered MIT as a first-year undergraduate, do I need to submit the form again?

Yes. We need to make sure you are still up to date on necessary vaccines and tests. You can access your vaccine history in the HealthELife portal.

I have waived the MIT Student Health Insurance Plan (MIT SHIP). Do I still have to complete the 2024-2025 New Student Vaccination and Tuberculin form?

Yes. All entering students must complete the 2024-2025 New Student Vaccination and Tuberculin form, no matter which health insurance they have. 

What if my medical records are not in English?

You must have the information on the 2024-2025 New Student Vaccination and Tuberculin formand all the required documents translated into English.

How should I return the form?

If you cannot access the online form, you can print out and return the paper version.

There are several ways you can return the paper version of the form:  

  • Fax: You may fax the form to 617-253-4121. Keep the original for your records. If the fax line is busy, please keep trying. 

  • Mail: You may mail the form to MIT Health – Health Screening, Room E23-127 77 Massachusetts Ave., Cambridge, MA 02139-4307 

  • Email: Using a program that encrypts your personal health information is the safest way to transmit your form by email. Follow the steps below to send your form securely:

    • Go to MIT Health’s Secure Email Message Center 

    • If you already have a Zix Secure Email account, enter your email address and password to sign in. If you haven’t used Zix before, click on the “Register” button and follow the instructions to create and activate your account. 

    • Once you’re signed in, select compose and enter medrpt@med.mit.edu in the address field. 

    • Click on “attach file,” and follow the instructions to attach your medical report form. 

    • Click on “send” to transmit your form securely to MIT Health.