REVIEW DEADLINES AND PENALTY INFORMATION

Your first interaction with Gannett may be around the health requirements that you must meet as an incoming student. These public health requirements exist for your protection and for the protection of your fellow students. We hope you will experience them as the beginning of our partnership in caring for your health. We strive to make them as clear and simple for you to meet as possible within public health guidelines.

Health history form

Every new student is required to complete Cornell’s Health History Form. This form provides Gannett with health information required to comply with state and federal laws and assure quality health care for students when they are in the Ithaca area. All students must complete this form.

This form is completely confidential (with NO connection to any part of Cornell other than Gannett Health Services).

The Health History Form is available online only. 

The process of completing the Health History Form will probably take several weeks so please plan ahead to obtain records, schedule an appointment with your health care provider, and complete the form on time. Health history information and supporting documents must be provided in English.

1. Obtain your official immunization records from your health care provider or school. You will need them to complete the online Health History Form.
2. Access the Health History Form at http://newstudents.cornell.edu.
3. Complete the form online. Follow instructions carefully to assure compliance with requirements.
4. Print the form on white 8 1/2 x11 (A4) paper.
5. Provide signatures where instructed. (Your form is incomplete without them.)
6. Take all five pages to your health care provider to obtain information and signatures related to physical exam and/or immunizations.
7. Mail your completed form by the deadline to:

Gannett Health Services
Requirements Office
110 Ho Plaza
Ithaca, NY 14853-3101
USA

POSTMARK DEADLINES: 2011-2012

Your electronic and paper Health History forms must be submitted by the deadline.

PENALTIES

Upon receipt of your form, Gannett Health Services will review it to make sure you have met all requirements.

You will be charged a $100 LATE FEE if you have not achieved full compliance with all requirements by August 12, 2011 (January 13, 2012 for spring entrants).