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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 and Immunization History Form and Tuberculosis Screening Form prior to coming to campus. All immunizations must be current prior to Aug. 1.

Student Health Center

Karen Schroeder

Lakeview Apartments Complex
525 South Main Street
Ada, Ohio 45810
Monday: 7:30 a.m.-9 p.m.
Tuesday: 7:30 a.m.-9 p.m.
Wednesday: 7:30 a.m.-9 p.m.
Thursday: 7:30 a.m.-9 p.m.
Friday: 7:30 a.m.-4 p.m.
Saturday: Closed
Sunday: 3 p.m.-9 p.m.