Skip to main content
Go to Moravian University home page
  • Moravian Home
  • Visit
  • Apply
  • Give
  • Lighting the Way
  • Current Students
  • Alumni
  • Families
  • Faculty & Staff
  • Partners
  • Media
  • Veterans
  • About
    • Leadership
    • Facts, Figures & Rankings
    • History & Traditions
    • Community Standards
    • Campus Maps
    • Mission
    • Bethlehem, PA
    • Partnerships
    • News & Events
    • Lancaster Location
    • Contact
  • Academics
    • Programs
    • Elevate Experience
    • Center for Academic Excellence
    • Research
    • Study Abroad
    • Academic Calendar
    • Registrar's Office
    • Reeves Library
    • AMOS
  • Admissions
    • Undergraduate
    • Graduate
    • Professional Studies
    • Adult Undergraduate
    • Visit
    • Affordability
    • Cost & Aid
    • Request Information
    • Apply
    • Accepted First-Year Students
  • Life
    • Wellness
    • Dining & Meal Plans
    • Housing
    • Clubs & Organizations
    • Diversity & Inclusion
    • Health & Safety
    • Community Service
    • Events Calendar
    • Book Shop
  • Outcomes
    • Career and Civic Engagement
    • Internships & Co-Ops
    • Alumni
    • Fellowship Program
    • Moravian Magazine
    • Giving
  • Athletics

Quick Actions

  • Moravian Home
  • Visit
  • Apply
  • Give
  • Lighting the Way

Info ForInformation For

  • Current Students
  • Alumni
  • Families
  • Faculty & Staff
  • Partners
  • Media
  • Veterans
  • Moravian College Twitter
  • Moravian College Facebook
  • Moravian College Instagram
  • Moravian University Youtube
  • Moravian College LinkedIn
  • Moravian College Tik Tok
© 2025 Moravian University

Menu

  • Home
  • Emergency Info
  • Fee, Hours & Location
  • Health Center Services
  • COVID-19 Information
  • Staff
  • Incoming Students
  • Health Forms
  • Immunization Requirements
  • Meningococcal Disease and Vaccine Information
  • Medical Excuse Note Policy
  • Medications
  • Local Pharmacies
  • Outside Services
  • Mpox
  • Contact

Breadcrumb

  1. Moravian University
  2. Health Center
  3. Health Forms

Health Forms

  • Health Forms - NEW STUDENT
  • “Statement of Absence from Class” Form
  • Hospital Resources Form

Nursing Student Clinical Forms

  • View Clinical Forms
Moravian University
  • Moravian College Twitter
  • Moravian College Facebook
  • Moravian College Instagram
  • Moravian University Youtube
  • Moravian College LinkedIn
  • Moravian College Tik Tok

1200 Main Street
Bethlehem, PA 18018

1 800.441.3191
610.861.1320
FAX: 610.625.7930

Make a Gift

Information for

  • Current Students
  • Alumni
  • Families
  • Faculty & Staff
  • Partners
  • Media
  • Veterans

Quick links

  • Academic Calendar
  • AMOS
  • Book Shop
  • Canvas
  • Jobs
  • Seminary
  • Reeves Library

Contact

  • Financial Aid
  • Human Resources
  • IT
  • Directory
  • Privacy Policy
  • Disability Grievance
  • Non-Discrimination
  • Title IX
  • Raise a Concern
  • Community Standards

Moravian University is committed to making its website accessible to all users. Should you find content that is inaccessible, please contact webaccessibility@moravian.edu or visit the Office of Disability and Accommodations.