Health Forms

Muhlenberg College requires all new incoming students (first-year and transfer) to complete essential health forms and records. Please complete the steps below by July 1 (for fall enrollment) or January 5 (for spring enrollment).

Follow the steps below to ensure you’ve submitted the necessary health information.

Step 1: In preparation for your arrival to campus

Please click on the links below to read the following information.

Step 2: Print the following forms and complete:

Health Form (Includes Physical Exam and Immunization Record)
Consent for Treatment
- All students must complete and sign the "Consent for Treatment"
- Students 17 years of age and younger: Parent or legal guardian must complete "Medical Consent Authorization for Minor" and also must sign the Consent for Treatment form
Medical Information Communication Preferences

Step 3: Have your medical provider complete the Physical Exam and Immunization Record

Both the Physical Exam Record and Immunization Record must be completed by your health care provider. This is the only form accepted.
Before leaving your healthcare provider's office, ensure that all sections of the required record are completed, signed, and dated where indicated.
All students must have a physical exam within 12 months of the first day of class.
Varsity athletes are required to have a physical exam (within 6 months prior to the start of fall practice), EKG, and sickle cell screen.
Use the opportunity of visiting your healthcare provider to discuss any health conditions you may have and how you can be prepared to manage these conditions while you are at school.

Step 4: Form uploads

As a single file, upload Health Form, Physical Exam, Immunization Record, Consent for Treatment, Medical Information Communication Preference, copy of Insurance Card (front and back).

Scan the completed forms, including the signed physical examination record and immunization record as one single document (and not individual pages). Save a copy of this file.
Students must enter their Muhlenberg email when uploading the health form.
Upload the file

Step 5: Create or update your MyLVHN Chart online

To ensure a quick registration process, we encourage all students to have a “MyLVHN” chart. Please follow the steps below to update or create your MyLVHN chart.

Students who already have a MyLVHN chart because they have accessed medical care previously by an LVHN provider do not need to create a new MyLVHN chart. If you have a MyChart account, login and proceed. If you do not have a MyChart account, create an account (Click “New user? Sign up now”)

Add your Health Insurance information

Click on the three horizontal bars in upper left corner (“Your menu”)
On the drop down menu, scroll down to “Insurance”
Click “Insurance Summary”
Click “Update Coverage”
Click “Add Coverage” on bottom of screen
Upload an image of your health insurance

Add your Personal Information

Click on the three horizontal bars in upper left corner (“Your menu”)
On the drop down menu, scroll down to “Account Settings”
Click “Personal Information”
Complete the following sections:
- Personal Information
- Contact Information
- Details about me
- Family and Friends to contact in case of emergency

Complete your Communication Preferences Form

Click on the three horizontal bars in upper left corner (“Your menu”)
In the search bar under “Your menu”, search for “Communication Preferences” and complete

Step 6: Student Health Insurance Plan – Enrollment or Waiver Required (Due August 1 for fall)

**Special note for F-1 international students: Per visa requirements, F-1 students will continue to be automatically enrolled in the student health insurance plan. Students will expect to see the charge on their Fall billing statements. F-1 students WILL NOT need to enroll or waive this plan themselves since it will be automatic.

Step 7: (Varsity Athletes Only or those considering trying-out for a varsity sport)

Complete additional medical forms as required for Varsity Sports.

Step 8: Verification of Chart Completion

Updates regarding the status of your health form will be sent to your Muhlenberg email. Please check your Muhlenberg email regularly. You will receive an email to your Muhlenberg email address when your health form is complete. Students (including commuters) must have a completed health form in order to receive a room key on move-in day and to attend orientation.

Student Health Insurance Plan:

Find information about the student health insurance plan offered at Muhlenberg College.