New Student Health Forms

We are so excited to welcome you to UC Hastings this fall! As a new student, we are doing everything we can to create a safe and healthy community for faculty, staff, and students. To that end, you are required to complete the following by July 29, 2022:

  • A New Student Health Form
  • Create a Carbon Health Account
  • Comply with UC Hastings Law COVID-19 Vaccine Policy

New Student Health Form

As mandated by the University of California Office of the President, all University of California students must satisfy TB screening and vaccination requirements prior to the start of their first semester. To comply with this requirement, incoming UC Hastings students must receive all required vaccines, submit a copy of their vaccination records, and submit a completed New Student Health Form to the SentryMD portal by July 29, 2022.

Students who fail to receive all required vaccinations and submit proof thereof by July 29, 2022, will have a registration hold placed on their record, preventing them from registering for Spring 2023 classes.

Create a Carbon Health Account

All new students, including international students, must create a UC Hastings-affiliated Carbon Health account by July 29, 2022. If you already have a Carbon Health account, you’ll need to create a new one, so that the services you use as a UC Hastings student are covered by your student health fees. (If you don’t create a UC Hastings-affiliated account, you will be personally charged for the services you receive and then we’ll need to help you resolve this problem on the back end.)

To create a UC Hasting-affiliated Carbon Health account, please access this link: https://carbonhealth.com/student-health/uc-hastings, which will take you to a UC Hastings-specific registration page. Please follow the web-based instructions to create your account.

For now, you can skip the insurance information. But when your UC SHIP coverage begins in the fall or you’ve successfully waived out of UC SHIP, please revisit the insurance questions and provide updated information.

Complete the ”Assessment Tool.” You will be asked to provide general information about your healthcare needs, but you may skip the questions that don’t apply to you.

Complete the Privacy Agreement, which includes a Privacy Notice, Consent to Treatment, Consent to Telehealth, and Release of Healthcare Information.

Comply with UC Hastings Law COVID-19 Vaccine Policy

All new students must demonstrate proof of compliance with UC Hastings Law COVID-19 Vaccine Policy by July 29, 2022. Students must do so by uploading their COVID-19 vaccine and booster information to Carbon Health’s platform (either using the Carbon Health website or the app). A student may request an exception to receiving a full course of the COVID-19 vaccine by completing a Religious Accommodation Request or having a healthcare provider complete a Medical Exemption Request and uploading the completed form to the Carbon Health platform (either using the Carbon Health website or the app).

To learn step-by-step about how to make a Carbon Health account and upload your COVID-19 vaccine information or accommodation/exemption request, please review these slides:


Students who fail to comply with our COVID-19 Vaccine Policy by July 29, 2022, will have a registration hold placed on their record, preventing them from registering for Spring 2023 classes.

If you have questions about Carbon Health’s website or enrollment, please call Carbon Health at 415-326-7549 or at uchastings-support@carbonhealth.com. If you have questions related to the New Student Health Form, UC SHIP, or other insurance-related questions, please contact UC Hastings Health and Wellness Coordinator Vanessa Sacks at 415-565-4612, sacksvanessa@uchastings.edu, or healthserviceshelp@uchastings.edu.

Click Here for the New Student Health Form

Click Here to upload your New Student Health Form to the SentryMD Portal

CLICK HERE FOR THE RELIGIOUS ACCOMMODATION REQUEST FORM

CLICK HERE FOR THE MEDICAL EXEMPTION REQUEST FORM