Immunization & Health Forms

The Commonwealth of Massachusetts requires that all full-time students (9 credit or more) must provide proof of insurance or sign an insurance waiver each academic year. If you do not currently have health inurance, please contact the Finance office for more information on policies available to students through Assumption College.

The deadline for submitting Fall 2011 waivers is September 2, 2011. If your waiver is not received, you will be enrolled in school sponsored insurance are charged accordingly.

CLICK HERE to download and print the waiver. Once completed, please fax to Lisa Johnson at 508-767-7446.

The Commonwealth of Massachusetts also requires that full-time students be immunized against measles, mumps, rubella, tetanus, and hepatitis B.

For a listing of Massachusetts School Immunization Requirements for the current year, please download MSI2007 Form.

For immunization forms please contact:
Linda Clay
Assumption College
500 Salisbury Street
Worcester, MA 01609

Telephone: 508-767-7507
Fax: 508-767-7030