Health Clearances

Health Clearance Forms

Please review the instructions, fees, and timing for submitting a Health Clearance form that you need to complete. This is not the same process if you need a form completed for Study Abroad (EAP)

How to request:

If you need to have health clearance forms completed by a clinical provider, please follow these steps:

  1. Students should send a secure message to the Health Clearance team through the eTang and upload the form that needs to be completed.

  2. Instructions on how to upload the form:

    1. Log into the eTang portal

    2. Go to messages

    3. Select new message

    4. Under Primary Care/ Clinical Services, select "Submit a request for Medical/Health/Physical Clearance Form Completion"

    5. Provide information, including the date needed and what the form is needed for, and upload the form that needs completion.

Fees: 

There are fees associated with the health clearance process:

  1. $15 for simple forms
  2. $55 for complex forms (requires Clinician signature, but does not need a full physical)
  3. $150 for forms that require a full physical exam 
  4. $50 for Club Sports physicals, not IA 

For questions regarding fees, please call the Billing & Cashier Office at (510) 642-8450.

Timing:

Once your request and form are reviewed our team will reach out with the next steps and timing. It may take up to 3-5 business days for a response. If you have not heard back from us within 3-5 days, please call Billing & Cashier Office at (510) 642-8450.