HEALTH FORMS

HEALTH FORMS

Due July 1 for fall or Jan 5 for spring semester

Step 1:   In preparation for your arrival to campus, please click on the links below to read the following information.

Step 2:  Print the following forms and bring to your health care provider to complete.

  • Physical Exam Form
    • If your last physical exam was more than 12 months before the first day of class, call your health care provider office to schedule a physical exam
  • Immunization Record

Step 3:  Log into PyraMed Health Portal

Complete the following forms on the PyraMed Health Portal
(Click on “My Forms” tab)

  • Medical History
  • Consent for Treatment and Communication
  • Emergency Contact
  • Health Insurance

Upload the following documents on the PyraMed Health Portal,
(click on the “Document Upload” tab)

 

Health Forms must be submitted through the PyraMed Health Portal.  Please call Health Services (484-664-3199) with any concerns.

To access the PyraMed Health Portal:

  • First, access the Muhlenberg College Application Portal (login.muhlenberg.edu)
  • Enter your Muhlenberg user name and password (supplied by Informational Technology)
  • Click on the icon for PyraMed Health Portal

Refer to the “What You Need to Know about Technology @ Muhlenberg College” letter you received from Information Technology to access the Application Portal. 

Sports Medicine

For incoming varsity athlete students and also for those considering trying-out for a varsity sport, (in addition to completing all the forms above), please complete the following steps:

Step 1: Read this letter from Sports Medicine

Step 2: Print out the three page Varsity Athlete Participation Exam

Step 3: Complete and mail the following forms to Sports Medicine by July 1

  • Physical Exam Form (same form used for all students) - 2 pages
  • Varsity Athletics Participation Evaluation Form - 3 pages
  • Copy of 12 lead EKG
  • Insurance card (front and back)

Step 4: On PyraMed Health Portal, click "My Forms" tab and complete all forms labeled "student athlete only"

Mailing Address: Muhlenberg College Sports Medicine, 2400 Chew Street, Allentown, PA 18104