Summer Session Student Forms
Welcome to Yale Health and Yale Summer Session! Please review the documents below for information about your health services requirements and deadlines for submission.
If you are an incoming or returning degree-seeking student enrolled in Yale College or a graduate or professional school, please follow the instructions here. Please note: If you are enrolled in a program with an early start date (May 27, 2024 to July 15, 2024), such as, First Year Scholars (FSY), Yale Summer Sessions (YSS), School of Management EMBA, or School of Medicine START, etc, please visit: Early Start Student Forms, to learn more about completing your health requirements one month in advance of your program start date.
You will not be permitted to enroll in classes until all the forms are submitted and the immunization requirements are met. Some immunization requirements may take a month or more to complete.
Summer Session Student Health Packet
- Download and print this form now, and take it to your provider to complete.
- Log-into the Yale Health Portal.
- Submit documents as instructed.
Other Forms
- Student Vaccine Medical Exemption Form
- Authorization for Medical Care and Treatment (only for students under the age of 18)
- Student Allergy Medical Treatment Plan (only for students requiring ongoing treatment by an allergist)
- Designation of Patient Spokesperson
Exemptions from Required Vaccinations
- Medical exemptions: Medical exemptions may be requested by completing the form available above. Documentation from a healthcare provider is required and will be reviewed by Student Health for appropriateness.
- Religious exemptions: In accordance with CT state statute, Yale does not offer religious exemptions for required vaccinations except for flu and COVID (required for healthcare students only.) Under Public Act 21-6 passed by the Connecticut legislature, no new religious exemptions are allowed after April 27, 2021. The law outlines an exception for those with a valid religious exemption established by midnight April 27, 2021, for students enrolled at Yale on or before April 28, 2021. Religious exemptions from outside of Connecticut OR exemptions from K-12 schools will not transfer to Yale. Requests for religious exemption for COVID vaccination are available on the Yale Vaccine Portal.
Effective May 15, 2023, COVID-19 vaccination for incoming (matriculating) students is strongly encouraged but not required. Students are required to submit documentation of prior any primary series vaccinations or bivalent boosters that they have received.
Information for Review
Consent to Treatment
In order to receive care from Yale Health, your consent to treatment is required. By presenting to the Yale Health Center for care, you implicitly consent to and/or acknowledge the following: (i) you consent to treatment as a patient of Yale Health for the purpose of receiving medical care and treatment and/or diagnostic procedures as determined to be necessary or advisable in your care; (ii) you consent to admission to the Yale Health Infirmary when indicated by your medical condition; (iii) you consent to the performance of one or more tests to determine your blood alcohol breath level if you present to Yale Health intoxicated, in connection with which you may be admitted to the Yale Health Infirmary or transferred to the Yale-New Haven Hospital emergency department; (iv) you acknowledge that Yale Health may use telehealth tools in your care including, but not limited to, video visits, e-consults with specialists, and audio and/or video monitoring in acute and inpatient departments; (v) you acknowledge that as part of your medical care and treatment, you may be tested for HIV and this testing is voluntary; you will notify your Yale Health care provider if you do not agree to HIV testing; and (vi) you acknowledge that photographic images, videotaped images or other images may be made of you for purposes of medical documentation or education as Yale Health deems appropriate, and that the use or release of such images will be in accordance with Yale Health’s Notice of Privacy Practices. You acknowledge that discussion of the risks, benefits, and alternatives to each procedure, treatment, or test is available to you so that you can make informed decisions about your care.