Skip to main content
You will be logged off in
seconds due to inactivity.
Click here to continue using this web page
.
SUNY Upstate Medical University
The form was NOT submitted
Upstate Employee./Student Health
175 Elizabeth Blackwell Street
Syracuse, NY 13210
(315)464-4260
Online Registration
Fill out all of the fields below. After submitting your information, you will receive a confirmation code via text message. Enter the code on this site to complete the registration process.
** Field is required
Employee Number / Student ID
**
First Name
**
Last Name
**
Date of Birth (MM/DD/YYYY)
**
Email Address (will become your web account user name)
Confirm Email Address
**
Address
**
City
**
State
Select State...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
International/Other
**
Zip Code (The zip code of your local residence)
**
Mobile Phone #
Employer Info
Employer Name (Optional)
Employee Type
AA345678901234567890123456789012346579
CNMT
DO
DSC
HA
CMD
CNM2
HCT
MD
LPN
MBBA
MOA
NP
OT
RN
PA
PND
PT
RD
RRT
RT(R)
RT(T)
SCA
SN
Cancel
Please wait...