Medical/Immunization Forms

Please download and fill out the appropriate form(s) below and return to:

Ohio Northern University Health Center
525 S. Main Street
Ada, Ohio 45810
Phone: 419-772-2086
Fax: 419-772-2545

All incoming students are required to complete a Medical History Form and Immunization Form prior to coming to campus. All immunizations must be current prior to the beginning of classes. Please copy and attach a copy of immunization record with form.