If you fail to meet the deadline for submitting this form, your registration status will be placed on hold. This means that you will not be able to register for new classes until we receive your completed form.
If you need to complete certain requirements after arriving at school—for example, if you need the final dose of the three-dose Hepatitis B vaccine or if you are missing any other requirement—be aware that the MIT Student Medical Plan does not cover immunizations or tests that should have been completed before your arrival at MIT. You can get that last Hepatitis B shot at MIT Medical, but you will have to pay for it yourself.
Use the links below to download and print the form or to find answers to frequently asked questions about the form, deadlines, and pre-entrance medical requirements.