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 can be found on the new student section of
Nucleus. If you have any questions about the form, please contact the Student Wellness
Office at 215-871-6420 (Philadelphia Campus) or 678-225-7484 (Georgia Campus)
Who do I return the Medical History Questionnaire to?
Philadelphia Students should send to: Georgia Students should send to:
PCOM-Student Wellness Office PCOM Student Wellness Office
4190 City Line Avenue 625 Old Peachtree Road NW
Philadelphia, PA19131 Suwanee, GA 30024