School of Dental Medicine

Please open the packet below, complete your part and print out the packet for your healthcare provider.
Once completed and signed, log into the patient portal, upload your completed document, enter your immunization dates, and fill out the Mandatory Health Form.

SDM Immunization Packet (Updated 2.3.20)

Internationally trained dentist program: March 16, 2020
Undergraduate and post-graduate dental programs: July 1, 2020

CLICK HERE TO BE ROUTED TO THE PATIENT PORTAL (to submit your information)
Use your Rutgers NETID and password to log in.
You will not be able to log in until your Rutgers credentials and email account are activated.


Continuing Education Students
Continuing Education Immunization Packet (Updated 2.1.19)
Once completed, you may submit your forms by fax or mail.