New Students

Health Services

Dear New Amherst Students and Families,


Welcome to Amherst College. As an Amherst student, you will be eligible to use the Health Center throughout the academic year. Please feel free to contact us or make an appointment to discuss any health concerns while you are at Amherst.  We need to receive certain information from you in order to provide appropriate health care when necessary, to promote the goals of the College, and to comply with state law and regulations. Please refer to the check list below in order to submit all of the necessary completed information. Forms may be submitted by mail, fax, email attachment, or in person. However, it is imperative that we receive them no later than January 18, 2013. If your health file is not complete, you will not be able to register for courses when you arrive on campus!

1. Physical Exam FormPhysical Exam Form   —completed by a licensed medical provider (physician, PA, or nurse practitioner) who is not a family member. The examination must have been performed within twelve months of your arrival at Amherst.

2.Health History FormHealth History Form-—please provide the requested information about yourself.

3.New Student Immunization FormNew Student Immunization Form—must be completed by your medical provider. If immunization status is unknown or incomplete, obtain an antibody titer for measles, mumps, rubella, Hepatitis B, and varicella or arrange for re-immunization (as outlined on the attached Immunization Form) when you receive the required physical examination from your medical provider.

4.Learning and Accommodation FormLearning and Accommodation Form—read and complete.

5.Email Consent FormEmail Consent Form —read and complete.

6. Notice of Privacy PracticesNotice of Privacy Practices-—read and complete.

7. INSURANCE INFORMATION—please send us a copy of both sides of your insurance card (not necessary if you have purchased the Amherst College Student Injury and Sickness Insurance Plan).


Thank you for your assistance in meeting these college requirements. If you have any questions regarding these forms, please contact the Keefe Health Center’s Office at 413-542-2267 or healthservice@amherst.edu.


Warren Morgan, M.D.            Michele Wojtowicz
Medical Director,                    Keefe Health Center Office Manager,Keefe Health Center

 

Important Dates and Deadlines: Please check back for updates

2014

Fri, May 30, 2014

Amherst E-Mail accounts activated for new students

Please be aware that all students are assigned an official Amherst College email address, and all official college communications are sent to this email address. Your email address will be included in in your welcome E-Mail information. At Amherst College, we rely on electronic communications with students, and it is the College’s policy that email be an official mechanism for administrative offices and faculty to communicate with students, so that we can provide you with accurate and timely information about matters which affect you, as well as important aspects of your academic work.

Welcome E-Mail to New Students

You will receive your first email from Dean of New Students about your arrival at Amherst and Orientation. That email will have a great amount of information for you to read, and several required forms to complete. The May 31st email will provide answers and guidance about your arrival at Amherst and the various things which you and your family need to know before you get here. It will also guide you as you begin to think about what courses you might like to take during your first semester – these ideas will be finalized when you meet with a faculty advisor during Orientation.

Sun, Jun 1, 2014

Deadline: Photo for Student ID

The Office of Public Affairs contacted incoming students to request a photo by June 1.

Beginning April 1, you’ll be able to log in to www.amherst.edu to create your own web page; upload text,photos and other content; meet classmates with similar interests; and browse a photo gallery of your class.

To populate the photo gallery, we need your photo! (This picture will also be used as your I.D. picture.
Submitting your photo now means that you won’t have to stand in the I.D. photo line at Orientation.)

Sun, Jun 15, 2014

Deadline: First Year Housing Questionaire

The questionnaire is designed to give us information about personal habits and environmental preferences. The information that you provide will help us to determine your housing assignment and your future roommate. It is important you take your time to go through the questionnaire as carefully and as honestly as possible.

Academic, Family, and Housing Questionnaires: Deadline, June 15, 2014

These are required forms in ACData which must be completed. If you are unable to complete these forms online, please feel free to the call the Dean of Students Office at 1-413-542-2336 to request assistance.

Sat, Jul 5, 2014

Health Forms: Deadline, July 5, 2014

The Health Forms are in the Portable Document Format (PDF), and you must print, complete, and return these forms to Health Services via mail, fax, or as email attachments. These forms are required components of your pre-registration medical file at Amherst College. Massachusetts Law requires up-to-date immunizations or blood tests verifying immunity.