Student Health Forms

The Cooper Union requires all students to complete a number of health forms. The required health forms packet includes a personal medical history, physician medical clearance, record of vaccinations and immunizations, disabilities self-identification form, as well as an emergency action plan form.


All forms must be completed & submitted by June 5, 2024. All forms received after June 5, 2024, will automatically be assessed a $100 late processing fee. 


All Undergraduate AND Graduate Students who are NEW to The Cooper Union:

You must complete all health forms available in the applicant portal / on this website. The Disabilities Self-Identification Form is the only optional form that is not required. 


Graduate Students who PREVIOUSLY ATTENDED The Cooper Union:

You do not need to resubmit the meningitis acknowledgement form or the vaccinations form. However, you will need to submit an updated physician’s clearance form, your up-to-date personal medical history (parts I & II), and the emergency action plan form.




If you have questions about the forms, please contact the office of student affairs at

UPLOADING YOUR HEALTH FORMS: Health Forms should be uploaded into the applicant portal HERE. When you login, scroll down, under the heading that says "Checklist" select Medical Forms from the dropdown menu, choose your file and click upload. If you are having issues, please email AND 


  • All forms must be complete & submitted by June 5, 2024. 
  • All forms received after June 5, 2024, will automatically be assessed a $100 late processing fee. 
  • Students cannot be registered for classes and cannot access any Cooper Union facilities, including our Student Residence Hall, until these forms are completed. Fall semester course registration for new students is automatic but will be withdrawn for students who have not submitted their completed health form packet. Not completing these forms by the required deadline may have implications for course registration and availability. Students will not be permitted to attend in-person courses in the summer unless the entire health form packet has been received and is completed. Late forms can result in course registration complications and may result in the loss of an offer for on-campus housing.
  • Founded by inventor, industrialist and philanthropist Peter Cooper in 1859, The Cooper Union for the Advancement of Science and Art offers education in art, architecture and engineering, as well as courses in the humanities and social sciences.

  • “My feelings, my desires, my hopes, embrace humanity throughout the world,” Peter Cooper proclaimed in a speech in 1853. He looked forward to a time when, “knowledge shall cover the earth as waters cover the great deep.”

  • From its beginnings, Cooper Union was a unique institution, dedicated to founder Peter Cooper's proposition that education is the key not only to personal prosperity but to civic virtue and harmony.

  • Peter Cooper wanted his graduates to acquire the technical mastery and entrepreneurial skills, enrich their intellects and spark their creativity, and develop a sense of social justice that would translate into action.