Upload Your Health Information

How to access the UMass Lowell Student Health Portal and upload health records

Health Services Patient Portal

Please submit all documentation through the Student Health Portal. For electronic medical record security, we are unable to accept forms by fax or email.

Per Massachusetts regulations, as a condition of enrollment at the university and subsequently, treatment at Health Services, all full-time students, and part-time health majors are required to have their health forms on file.

ONLINE STUDENTS: Exclusively online students (i.e. those without required on-campus symposia, intensives, seminars, etc.) are not required to submit health history, TB risk and immunization records if they do not participate in any activities or instruction on campus, regardless of major. Students who participate in any type of on-campus course requirements must submit health and immunization records for review and verification. Students in certain degree programs with clinical/community placements may be required to comply with host agency immunization requirements. Students who transition to any on-campus courses during their career at UMass Lowell will be required to submit immunizations and health history forms per policy.

Online Health Record

All newly enrolled students should complete the health forms online and upload supporting medical documentation through the Health Services Patient Portal link above.

  • Health History (pdf) - Students must complete both parts of the Health History Form. 
  • Tuberculosis Risk Assessment Questionnaire (pdf) - View list of TB-Endemic countries and answer questions. 
  • Immunizations (pdf) - Upload medical documentation signed by medical provider.
    • Two doses MMR (Measles, Mumps, Rubella) vaccine or a positive blood titer test .(laboratory documentation required)
    • Two doses of Varicella vaccine for Chicken Pox or documented history of disease, or positive blood titer (laboratory documentation required)
    • Three doses Hepatitis B (Engerix B) or two doses Hepatitis B (Heplisav) or positive blood titer (laboratory documentation required)
    • One dose of Tdap given on or after your 11th birthday is required. Additional doses (boosters) of Tdap or Td are not required, but highly recommended every 10 years.
    • Meningococcal vaccine - All newly enrolled full-time students 21 years of age or younger must receive a Meningococcal ACWY vaccine on or after their 16th birthday; or, sign the Department of Public Health's Meningococcal Disease and Vaccination Waiver Form.
    • COVID-19 vaccine – No longer required as of May 11, however students are strongly recommended to obtain booster doses as eligible.
  • Physical Examination Form (pdf) - Download the Physical Examination Form and bring to your medical provider for completion; upload to the Patient Portal. We will also accept the medical provider's form. Physical examination should be performed within the past 12 months.

Due Dates

All health records are required by Aug. 1 for fall enrollment and Jan. 1 for spring enrollment.

Failure to submit mandatory health records will result in a hold on your registration and possible removal from enrollment.

Complete and upload forms via the secure Patient Portal.

Questions?

Please call us at 978-934-6800 or contact us with any questions.