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 5.4.21)

Internationally trained dentist program: March 18
Undergraduate and post-graduate dental programs: June 24

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 12.6.21)

Once completed, you may submit your forms by using the online Continuing Education Immunization Portal.