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Forms

The Marymount University Student Medical Form must be completed and submitted to the Student Health Center before a student can register for classes.

All students are required to complete demographic, insurance information, and immunization history. All Marymount students born after December 31, 1956, must provide proof of compliance with immunization requirements mandated by the Commonwealth of Virginia and Marymount University. This form must be returned to the Student Health Center by August 1st for the fall semester and January 1st for the spring semester. This medical form is separate and in addition to any department specific requirements. A registration block will result if all requirements are not met by the deadline. Records must be in English to ensure accuracy.


If you feel that you are exempt from the Student Medical Form due to religious or medical reasons, please refer to the Virginia State Vaccine Requirements as listed on the National Vaccine Information Center's website.  Exemption forms, as well as basic instructions for completion, are also available at the listed link.

Additional Forms

Student Health Center

Berg Hall, Room 1014
2807 North Glebe Road
Arlington, VA 22207

Questions?

Phone: (703) 284-1610
Fax: (703) 284-3816
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Office Hours


Fall & Spring Semesters
Monday, Tuesday, Thursday & Friday
8:30 a.m. - 5 p.m.
Wednesday
8:30 a.m.- 6:30 p.m.

Summer Semester 
Monday-Friday 10 a.m. - 4 p.m.

Last appointment taken an hour before close.
Appointments preferred, Walk-ins as available.
Closed weekends and university holidays.

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