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Student Health Services Building

Main Campus Hours
1810 Liacouras Walk, 4th floor
Philadelphia, PA 19122
Phone: (215) 204-7500
Fax: (215) 204-4660

Walk-In Hours End at 4:00pm.

Monday 8:30am-5:00pm
Tuesday 8:30am-7:30pm
Wednesday 10am-7:30pm
Thursday 8:30am-5:00pm
Friday 8:30am-5:00pm
Saturday 9:00am- 12Noon
Sunday Closed

Click here for HSC and Ambler Locations and Hours.

 

FORMS

Housing Meningitis Forms
Meningitis Letter \ FAQs
Meningitis Form (University Housing Students)

Flu Shot Fact Sheet
Flu Shot Information

SelectPlan For Women Form
SelectPlan For Women Form
SelectPlan For Women Form (Interactive)

Immunization Forms
Immunization Letter
Immunization Form

Health Science Student Forms
Immunization Record
Immunization Record (School of Medicine)
Physical Form
Letter for Health Science Campus Students
Letter for School of Medicine Students
Letter for Health Science Main Campus Students

Medical Release Forms
From Student Health Services TO a Primary Care Provider
From Ambler Campus
From HSC Campus
From Main Campus

Medical Release Forms
From a Primary Care Provider TO Student Health Services
To Ambler Campus
To HSC Campus
To Main Campus

Nutrition
Sensible Snacking Form

Campus Food Guide 2007

Self Report Excuse Note
Self Report Excuse Note

Allergy Shots
Allergist Request Form

 

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