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INTERNATIONAL STUDENTS - GRADUATE

All graduate international students must compete the following Health and Wellness Center's requirements:

SUBMIT THE FOLLOWING INFORMATION BY MAIL OR EMAIL:

                        CONFIRMATION OF HEALTH INSURANCE FORM
You will receive an email with this form attached.
DO NOT complete this form online.
You must mail or email the paper form.
All international students are required to maintain health insurance while attending Kutztown University.

                                  TB SCREENING QUESTIONNAIRE
You will receive an email with this form attached.
DO NOT complete this form online.
You must mail or email the paper form.

                               **********IMPORTANT**********

If you plan to live on campus or access health care through clinical services you must also do the following:

  • MAIL OR EMAIL YOUR IMMUNIZATION RECORDS  

    You must submit documentation for the following required vaccines:
    • Tetanus in the last 10 years
    • 2 - MMR Vaccines
                     1st dose - 12 months or older
                     2nd dose - at least 28 days after 1st dose
                NOTE - proof of immunity by blood test for Measles, Mumps and Rubella is acceptable

  • COMPLETE THE ONLINE REQUIRED MEDICAL FORMS

NOTE - If you choose to access health care in Clinical Services the per semester health center fee will be placed on your KU account when you are seen for your first appointment.

Click on the "REQUIRED MEDICAL FORMS " button at the bottom of this page to access the online Required Medical Forms.

Login with your university network username (the beginning of your KU email address up to, but not including the @ sign), password and date of birth. 

FAILURE TO COMPLETE THESE REQUIREMENTS WILL RESULT IN YOUR INABILITY TO REGISTER FOR FUTURE CLASSES.

Email - Lois Piehel or Mail - Health and Wellness Services, PO Box 730, Kutztown, PA 19530