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Medical History Questionnaire

  

What is the Medical History Questionnaire?

The Medical History Questionnaire, or health physical, is a form that needs to be completed by your physician before classes begin.

 

 

Is the Medical History Questionnaire really required?

The Medical History Questionnaire form is required before classes begin from students in the DO, PA, Biomedical Sciences, and Forensic Medicine programs.

 

 

Why is the Medical History Questionnaire necessary?

Upon matriculation as a student at PCOM, your involvement in professional studies commits you to all the duties and responsibilities of your degree program.  For this reason, we require students to complete a mandatory physical examination and health history.  This is a requirement of many sites where you will train, and also involves safety in our labs.

 

 

Does the student health insurance plan pay for the cost of the Medical History Questionnaire?

No, PCOM's student group health insurance does not cover the required pre-enrollment physical, blood work, immunizations, or any component of the Medical History Questionnaire.

 

 

Where can I obtain the Medical History Questionnaire form?

The Medical History Questionnaire form will be included in your New Student Binder.  If you need a replacement Questionnaire, please contact the Student Wellness Office at 215-871-6420. 

 

 

I have questions about the Medical History Questionnaire.  Who do I contact?

Contact the Student Wellness Office at 215-871-6420 for any questions about the Medical History Questionnaire.

 

 

Who do I return the Medical History Questionnaire to?

Please return your Medical History Questionnaire to:

PCOM-Student Wellness Office

4190 City Line Avenue

Philadelphia, PA 19131

 

Philadelphia College of Osteopathic Medicine | 4170 City Avenue | Philadelphia, PA | 19131
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