The Medical History Questionnaire is a health physical form that is required to be
completed before classes begin by students in the DO, Physician Assistant, Biomedical
Sciences and Forensic Medicine programs.
The Medical History Questionnaire form can be found on each academic program's new
student link on myPCOM.
If you have any questions about the form, please contact the Student Wellness Office
at 215-871-6420 (PCOM) or 678-225-7484 (PCOM Georgia and PCOM South Georgia).
Completed medical history questionnaires should be returned to:
PCOM (Philadelphia, PA) students:
PCOM Student Wellness Office
4190 City Line Avenue
Philadelphia, PA 19131
PCOM Georgia and PCOM South Georgia students:
PCOM Georgia Student Wellness Office
625 Old Peachtree Road NW
Suwanee, GA 30024