School of Public Health

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.

Newark

Immunization Packet (Updated 1.30.19)

CLICK HERE TO BE ROUTED TO THE PATIENT PORTAL (patient-rbhs.medicatconnect.com) 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.

Piscataway

Immunization Packet 2017 (Updated Sept 13, 2017)

CLICK HERE TO BE ROUTED TO THE IMMUNIZATION PORTAL (rutgers.medicatconnect.com) 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.