Health and Housing Forms

Our Housing and Health forms are available below for your convenience.

Housing Forms

Students who will be new residents to Rivier University, please use the link or QR code below to complete all required housing information forms.

NEW STUDENT HOUSING INFORMATION FORMS

OR SCAN 

 

 

In accordance with the Higher Education Opportunity Act (Public Law 110-315), Rivier University is required to give you, as a resident of an on-campus student housing facility, the opportunity to identify a contact person(s) whom Rivier University shall notify if you are determined missing by campus public safety or by local law enforcement. This is an optional form: MISSING STUDENT NOTIFICATION.

Students who are returning residents of Rivier University, please complete the forms below to secure a space on campus.

Residence Hall Agreement

Emergency Contact Form

In accordance with the Higher Education Opportunity Act (Public Law 110-315), Rivier University is required to give you, as a resident of an on-campus student housing facility, the opportunity to identify a contact person(s) whom Rivier University shall notify if you are determined missing by campus public safety or by local law enforcement. This is an optional form: MISSING STUDENT NOTIFICATION.

Student Health Portal

Visit the Student Health Portal to complete your required health forms.

All Students (Commuter/Resident):

  • Form A: Immunization Verification Form

Resident Students Only:

  • New Student Welcome Letter
  • University Immunization Policy
  • Form B: Report of Health History
  • Form B: Physical Exam
  • Form C: Permission to Treat
  • Health Insurance and Managed Care Information
  • Health-Related Items to Bring to College
  • Patient Bill of Rights
  • Resident Student Health Insurance Form
  • Information on Meningitis

Contact

Student Life and Housing Services