Health & Wellness
Health Services

Health Requirements for New Medical Students

Your first interaction with Health Services will be the health requirements that you must meet as an incoming medical student, which will begin our partnership in caring for your health while you are at Brown.

The deadline for submission is June 1, 2022.

Please review and complete the required information listed. All forms can be accessed from the links below. For continuity of care, we request that students forward their medical records for any chronic, serious medical condition.

To return forms, the student must login into the Brown Health Services Patient Portal and upload the forms.

If you are unable to upload, fax the forms to 401-863-3321 or mail to:
Brown University
Health Services
Box 1928
Providence, RI 02912

If you have any questions about your medical forms, please refer to Frequently Asked Questions before contacting us.

Steps 1-5 are required for all students.

Brown University requires all medical students to provide written documentation of the following on the Medical Student Immunization, Titers & Tuberculosis Screening Record

Vaccine Requirements:

COVID-19
A record of a one or two dose COVID-19 vaccine series AND a booster dose if >5 months after initial series completion.
Hepatitis B
A record of Hepatitis B vaccine series. After series completion, a quantitative Hepatitis B Surface Antibody titer must be completed, a copy of the lab report must be submitted.
Measles, Mumps and Rubella
A record of two (2) MMR vaccines OR two (2) doses of Measles, two (2) doses of Mumps and one (1) dose of Rubella; OR serologic proof of immunity for Measles, Mumps and Rubella. History of disease is not acceptable.  A copy of the lab reports must be submitted.
Meningococcal A, C, Y, W-135
If you are under 22 years old, at least one dose is required between the ages of 16 and 22 years.
Tetanus/Diphtheria/Pertussis
One dose of adult Tdap. If the last Tdap dose is more than 10 years old, then a Tetanus Diphtheria (Td) or Tdap booster is required.
Varicella
A record of two Varicella vaccines OR if a history of chickenpox disease, serologic proof of immunity for Varicella (chickenpox) is required. History of disease alone is not acceptable.  A copy of the lab report must be submitted.
Tuberculosis Screening
A record of two tuberculosis skin test (TST) – two tests 1-3 weeks apart OR one IGRA blood test (Quantiferon/T-Spot), completed within 6 months of arrival at Brown. If there is a positive result to either test, documentation of a negative chest x-ray and history of latent TB treatment must be attached.
Influenza
Please note that the Influenza vaccine will be required during the Fall 2021. Flu vaccine clinics are held at the Medical School in the Fall.

Recommended, Not Required Vaccines 

Document any additional immunizations on page 2 of the immunization record form

Submission Requirements:

  • If you attended Brown in the past, login to the Brown Health Services Patient Portal and click on immunization history to verify that you have received all required vaccines and titers. If not, please obtain the missing vaccine(s) and titer and upload the documentation. 
  • Print the Medical Student Immunization, Titers & TB Screening Record and review the requirements for immunizations and serologic testing.
  • Contact your medical provider for form completion and for further immunizations and testing if indicated. We will also accept official immunization records from your provider, previous school, or health department.
  • Rhode Island state law requires all students to provide written documentation of their immunizations.  Brown University requires serologic testing for all medical students. Two-step tuberculosis screening is required within the past 6 months, if indicated. 
  • Log onto your patient portal at https://patientportal.brown.edu
    • Select “Upload” to submit your immunization records and serology lab results
    • Select “Immunizations” to enter the dates of your immunizations, titers, and TB testing

We will also accept official immunization records from your provider, previous school or health department, but please be sure to fulfill all requirement as documented on the Brown form.

The information on this form provides our staff with an overview of your health status and past medical history, allows us to provide you with the best care possible and to meet your health care needs. All medical information is strictly confidential, and cannot be released to anyone (including your parents, professors) without your authorization.

This form must be completed by the student only. It does not need to be completed nor reviewed by your medical provider.

This form must be completed prior to N95 Mask Fitting which will occur during orientation.

  • Log onto your patient portal at  https://patientportal.brown.edu
    • Select “Upload” to submit your Medical Insurance Card or Prescription Benefit Card, if applicable
    • Upload of copy of both sides of your card(s)

If your insurance changes in the future, please upload a copy of your new card or bring the card to Health Services so we can update your information.