Medical Forms

The Marymount University Vaccination Requirements must be completed and submitted to the Student Health Services before a student can register for classes.

All Marymount students born after December 31, 1956, must complete an immunization history. This documentation provides proof of compliance with immunization requirements mandated by the Commonwealth of Virginia and Marymount University. This requirement is separate and in addition to any department specific requirements. The required forms can be found at Medicat Patient Portal. A registration block will result if all requirements are not met by the deadline. Records must be in English to ensure accuracy.

If you feel that you are exempt from the vaccination requirements due to religious or medical reasons, please contact Student Health Services to learn how to submit an exemption request.

Additional Forms

• Allergy Immunotherapy
• Authorization for Release of Protected Health Information 
• Ear Irrigation Consent 
• Notice of Privacy Practices
• Medicat Patient Portal Instructions
• Patients Rights & Responsibilities
• Student Health Center Brochure