Online Form Submission - available now!

Please note, if Elon University has not received your deposit, you will not be able to access PhoenixHealth to submit your forms on-line. You may wait until your deposit is received or you may complete the paper documents. Please do not do both.

IMMUNIZATION RECORD

1. Login to PhoenixHealth using your University username and password.

2. Select Immunizations and click on the enter dates dropdown.

3. You must enter dates for all required immunzations. You may include your entire record for us to keep on file.

4. In addition to entering the dates in the Immunization section of the portal, you will need paper documentation from your medical provider so Student Health staff can verify your immunization dates. To do so, save a copy of all your records on your device. *Please save the file "Last First imm record" to your desktop and upload from that location. File names that are too long or file paths that are too long will cause an error message.* From the PhoenixHealth home page, navigate to uploads. Select "Immunization History" from the dropdown. Follow the directions on the page. Student will not be considered compliant until document is received.

REPORT OF MEDICAL HISTORY

Please note - no physical exam is required.

1. From the PhoenixHealth homepage, navigate to "Forms".

2. Click on the link to "Student Health Report of Medical History".

3. Complete all questions, initial, and submit.

TUBERCULOSIS SCREENING QUESTIONNAIRE

1. Print out the Tuberculosis screening questionnaire (page 1 of the document).

2. Answer each of the questions on the TB screening questionnaire.

3. If all answers on the screening questionnaire are no, submit the form to your medical provider to confirm that a TB skin test (TST/PPD) is not necessary. Your medical provider should sign the form.

4. If any questions are answered yes, the student will need to consult with his/her primary care provider to complete the TB risk assessment to determine if a TB skin test (TST/PPD) is necessary.  If the provider determines no further testing is necessary, he/she will sign the form indicating no test is needed. Undergraduate students are NOT required to have a two-step TB test.

5. Save a copy of the document on your device. *Please save the file "Last First TBSQ" to your desktop and upload from that location. File names that are too long or file paths that are too long will cause an error message.* From the PhoenixHealth home page, navigate to uploads. Select "TB Screening Questionnaire and Risk Assessment" from the dropdown. Follow the directions on the page. Student will not be considered compliant until document is received.

COPY OF HEALTH INSURANCE CARD (RECOMMENDED BUT NOT REQUIRED)

We recommend you copy/scan your health insurance card to be kept on file in Student Health Services. Student Health Services does not file claims with insurance companies, but in the event of an emergency it may provide Elon University administrators with quicker access to your emergency contact and health insurance policy information (ONLY).

Save a copy of the document on your device. *Please save the file "Last First Insurance Card" to your desktop and upload from that location. File names that are too long or file paths that are too long will cause an error message.* From the PhoenixHealth home page, navigate to uploads. Select "Copy of Student's Insurance Card" from the dropdown. Follow the directions on the page.

CONDITION DISCLOSURE FORM

Please note that Student Health Services does not release any information related to health history or conditions to any other Elon University office. To make University administrators and/ or other offices aware of conditions, please complete the condition disclosure form.