Skip to Content - Skip to Navigation

Health and Immunization History Submission

All IUP students must complete a health history and immunization form. The information contained in the forms listed below is now able to be entered electronically via this Web link by the student. After completion of this information online, please mail, fax, or scan and e-mail the original documentation (for verification purposes only) to the Health Service at the information provided at the bottom of this page.

Health History Website

Health History Website login page


View our Health History Submission Video to see from a student’s perspective how to submit you health history via MyIUP.

How to Submit

  • Only currently registered students will be able to submit information to their electronic medical records via this link.
  • IUP students must use their user name and password to enter the site.
  • Students can also access our Web portal through MyIUP.
  • Health History Website After Login

    Health History Website After Login


    Once on the page, read the instructions and submit the information only when you have completed the form. This page will also allow you to view and print the immunizations that you have on file with the Health Service whenever you choose.

See also the release of information consent form.

  • Health Service
  • Center for Health and Well-Being
    Suites on Maple East
    901 Maple Street
    Indiana, PA 15705
  • Phone: 724-357-2550
  • Administration: 724-357-6475
  • Fax: 724-357-6212
  • Office Hours
  • Monday through Thursday
  • 8:00 a.m.–4:30 p.m.
  • Friday 10:00 a.m.–4:30 p.m.
  • Open during lunch hour
  • Closed weekends and major holidays