Health and Immunization Requirements

Here are the health requirements that need to be submitted to Student Health Services if you plan on attending the University of Bridgeport. If you have already provided this information or you are a Distance Learning Student, please disregard this notice.

IF YOU DO NOT PROVIDE STUDENT HEALTH SERVICES WITH THE REQUIRED FORM COMPLETED, YOU WILL NOT BE ABLE TO REGISTER FOR CLASSES OR RESIDE IN ON-CAMPUS HOUSING.

Please use the appropriate form for the program you are entering.

Health Form A – For ALL Undergraduates, Health Sciences Students (excluding Nursing), and International Students
Health Form A – Chinese Version
Health Form A – Arabic Version

Health Form B – For Domestic Graduate Students not including Health Sciences

Health Form C – For students in the IDEAL Program
Health Form D – For Nursing Students
Health Form E – RN to BSN Hybrid Completion Program (for students in this program taking classes on campus)

TB Risk Assessment Form – In lieu of the PPD or IGRA requirement, this form can be filled out and submitted.

Please submit your form A, B or C as soon as possible to the following address or fax or email a scanned copy. Please write your student ID number on all documentation.
Student Health Services
60 Lafayette Street, Room 116
Bridgeport, CT 06604
Fax (203) 576-4715
healthservices@bridgeport.edu

Student Athlete Pre-Participation Physical Exam Form (PDF) – For students in any program that are joining a NCAA Intercollegiate Athletic Team. This form is required prior to participation in any varsity sport. This does not include Intramural, Recreation or Club sports.
Student Athlete form (only) needs to be returned via Mail, Fax or Email to:
UB Athletic Training Rm
120 Waldemere Ave
Bridgeport, CT 06604
Fax: 203-576-4985
Email: daniels@bridgeport.edu

  • STUDENTS WILL BE RESPONSIBLE FOR OBTAINING THESE VACCINES FROM AN OUTSIDE PROVIDER IF NECESSARY. DUE TO THE HIGH COST OF THESE VACCINES, PLEASE DISCUSS THESE REQUIREMENTS WITH YOUR PRIMARY CARE PROVIDER OR YOUR LOCAL HEALTH DEPARTMENT.
A law enacted by the State of Connecticut mandates that all college students must be informed of Hepatitis B infection and its devastating consequences. All Physician Assistant students are required to be vaccinated for Hepatitis B or provide serologic evidence of immunity. College students are at an increased risk of developing a Hepatitis B infection. All students are strongly encouraged to be vaccinated for Hepatitis B, which is administered as a series of three (3) injections over a six-month period. Refer to the Hepatitis B fact sheet (PDF).

Immunization Exemption

If you qualify for a medical or religious exemption to the immunization requirements, please fill out the Medical or Religious Exemption form (PDF).
Thank you for your attention to this matter and please accept our best wishes for a healthy and happy educational experience at the University of Bridgeport.