Health Forms for New Students

From the Health Services Office

Welcome to Moore College of Art & Design. I am Diane Azuma, the Director of Health Services. My hours are 9 a.m. - 3 p.m. Monday through Friday to meet students' routine health care needs and to handle emergencies. Health Services is located on the first floor of Stahl Hall.

In addition, the College refers students to Drexel Family Medicine , affiliated with Drexel University College of Medicine and  PENN CARE at Rittenhouse physician practices. The PENN CARE practice is an internal medicine practice affiliated with University of Pennsylvania Health System. Office visits, immunizations and diagnostic tests are billed to the student's insurance.

The health form, including a copy front and back of your health insurance card and immunization record signed by your physician, must be completed and returned to the school by August 1, 2013.

If you do not have a physician to complete this form, you may make an appointment by calling 

Drexel Family Medicine   219 N. Broad St. 6 FL    215-482-1234 or PENN CARE @ Rittenhouse  1840 South St. 1FL  215-893-6200 to complete this form. You should make this appointment prior to the deadline for return of the health form. There is a fee for this visit in addition to the charge for vaccinations or laboratory work you may require. You must bring previous vaccination records. All charges for this appointment are the responsibility of the student.Please consult with the physician office regarding health insurance coverage when scheduling appointment.

In addition to this coverage for your physical needs, we have in Student Services a wonderful College Counselor, Ruth Gayle, M.Ed., who has been working with artists here at Moore for over 15 years and who is well respected by students, faculty and staff.

The College requires that students have health insurance. Many of our students are already insured under their family’s health insurance plan. Those students will need to submit documentation of coverage. All others must purchase the school’s health insurance. Further details can be found in the following section.

I am enclosing a health form; it is the student's responsibility to have this form completed, signed by their physician, and returned to the Health Services Office. This form is kept in a confidential file in Health Services so that I can better serve your needs.

The health form, including a copy front and back of your health insurance card and immunization record signed by your physician, must be completed and returned to the school by August 1, 2013. A completed health form is required for both commuters and residents. Residents without completed health forms may not move into housing. To assist in making your transition to college smoother, we have some suggestions for you. Plan ahead! At this time of the year, it is difficult to get a timely appointment with your physician due to the increased demand of students needing physicals for school. Secondly, know what your health insurance is, have the card with you, and find out how to use it. Thirdly, if you are being treated for any long term medical or psychological conditions and you will be far away from home, we suggest that you discuss with your physician and/or therapist about making connections to physicians or therapists near school to ensure continuity of care while you are at school.

Because the College must have your health form to properly address your medical needs, failure to return a completed health form by day after the drop/add class period ends will result in a $100 penalty, and a hold will be placed on your student account.

I am pleased to say that the College is well equipped to meet your health needs. There are no long waits or anonymity often associated with university health services. I welcome you as an incoming student, and I look forward to helping you stay healthy while you pursue your education as an artist.

Diane Azuma, R.N.
Director of Health Services
Stahl Hall First Floor
Telephone # 215-965-4032
Fax # 215-564-1459