The Master's College

Health Forms


As part of the registration process, students need to fill out the health forms. It is imperative that students get the required immunizations before they register for classes. Students under 18 years must have their parents sign the forms and mail them to the Health Center.

  • The Student Health Immunization Form: Fill in the dates of two Measles, Mumps and Rubella (MMR). If you are unable to obtain documentation, re-immunization is required or verification of your immunity to Measles, Mumps and Rubella through a blood test (need a copy of your blood test results or MMR's).

Tuberculosis (MANTOUX) test is only required of all students within one year of arrival on Campus. If the Tuberculosis Test is positive, you must have a chest X-Ray within two years. We need a copy of the Tuberculosis test results or a copy of the chest X-ray report.

The Masters College Health Center, # 40
21726 Placerita Canyon Road
Santa Clarita, CA 91321
(661) 362-2662
Fax: (661) 362-2663

  • The Student health History Form enables us to take care of your health needs and to know your medical insurance provider.  If you have your own medical insurance, make a copy of your insurance card (front and backside) and mail, email or fax it to TMC Health Center (together with immunizations).

Click on the following icons to print out the forms. Please fill out the forms, make sure you SIGN AND MAIL them to TMC Health Center, Box 40.

Health History



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