The Medical Health Questionnaire is a health physical form that is required to be
completed before classes begin by all students. The Medical Health Questionnaire form
can be found on .
If you have any questions about the form, please contact the Student Wellness Office
at 215-871-6420 (PCOM) or 678-225-7484 (PCOM Georgia and PCOM South Georgia).
Completed Medical Health Questionnaires should be returned to:
PCOM (Philadelphia, PA) students:
PCOM Student Wellness Office
4190 City Line Avenue
Philadelphia, PA 19131
PCOM Georgia and PCOM South Georgia students:
PCOM Georgia Student Wellness Office
625 Old Peachtree Road NW
Suwanee, GA 30024