Health Forms

Important Information:

In order to fulfill our responsibilities, the Student Health Center must receive certain documentation prior to your enrollment:

  • Student Health Record (All forms must be completed by the student. A parent’s signature is required if the student will NOT be 18 years of age upon entering The Master's University)
  • Copies of Immunization records
  • Immunization Waiver (if applicable)
  • Copy of current health insurance card (front and back)

If you are a new student, please email , fax 661-362-2663, or mail signed copies of the Student Health Record with a copy of your immunization records and a copy of your medical insurance card to the Health Center as soon as possible to 21726 PLacerita Canyon Road, Santa Clarita, California 91321.

 The health forms are PDFs that may be filled out electronically, note signatures are required.

Health Form Due Dates

Fall Semester          August 1

Spring Semester     December 31


New Student Health Record

Immunization Waiver

Additional for Intercollegiate Student-Athletes