Medical Forms and Records
Incoming Students - Immunization Records
Be prepared to provide your required immunization records through a web portal prior to August 1.
Providing Evidence of a Previous COVID-19 Infection
Please use MedProctor to submit previous positive COVID-19 diagnoses starting January 2021, even if you submitted results via email previously. The MedProctor Portal will be used to verify exemptions to the Miami COVID-19 testing program, and to determine when students are eligible to return to the pool of wide-net and surveillance testing. By uploading your documentation you are allowing your test result to be shared with the Miami COVID-19 testing and response teams, as needed, in order to exempt you from testing, isolation, and/or quarantine.
There is no charge for this service, though you have the option to purchase a membership, which will provide lifetime access to your personal health data that can be shared with others, as you designate.
Step One: Register
Visit medproctor.com and select existing users sign in. Sign in using the login information you set up when you started at Miami University. If you are a new student you need to select register to start a new account. Type in your Miami email address to get started and follow the directions to register for a new account.
Step Two: Download
Fill out any required personal, medical or insurance information. Download the required forms and follow the directions provided.
Step Three: Upload
Log back in to your MedProctor account and upload a copy of your forms. Make sure your forms are complete and legible. You will receive an email confirmation once the forms have been reviewed.
Questions and Support
If you have difficulty using MedProctor, you may contact MedProctor between 8 a.m. and 5 p.m. Monday through Friday. During these hours you can live chat with their support agents directly from their support site or while you are completing your student workflow. This feature is located at the bottom right of the screen on either Med+Proctor site.
You may also email help@medproctor.com with your issue and this will create a ticket
for their support agents to take care of you.
Confidentiality of SHS Treatment Records
The medical record of treatment received at the Student Health Service (SHS) is considered confidential information and will only be released under specific conditions.
Students may initiate release of their medical information with the SHS staff. The release MUST be in writing; forms are available at the SHS. If students are away from campus, a signed authorization from the student patient is still necessary. Authorizations must include Name, Banner Identification Number, date last attended/or graduated from Miami, where the information should be sent, the student's signature and date. Authorizations dated more than three months prior to receipt will not be accepted. Faxed requests are acceptable at 513-529-1892.
In addition, Student Health Service staff may not discuss the patient’s records with others, including family members, without proper authorization from the student.
Student Health Records are retained in the Medical Records Department for a total of seven years (in addition to current year from date of last entry), after which time the records will be destroyed.
Download Forms and Records
Medical Withdrawal (Current or Prior Semester)
Authorization for the Treatment of Minors Form (PDF)
General Consent to Treat Form (PDF)
MedProctor's Immunization Certificate (PDF)
Immunization Exemption Form (PDF)
Forms in Chinese
Authorization for the Treatment of Minors Form (Chinese) (PDF)