HEALTH CENTER FORMS

To download forms, please click on the links below.

Forms for Incoming Students:

Medical/Health Forms Packet  - Due by July 15

To learn more about university-sponsored insurance, go to www.kosterweb.com 

If you need to contact the Health Center, please call 860-685-2470 or email jwalter@wesleyan.edu or mschukoske@wesleyan.edu

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*Please NOTE:  Incoming Students DO NOT need to return the forms below.  These forms are for visits to the Health Center.

*Miscellaneous Forms for Records/Visits:

Allergy/Immunotherapy Packet

Health Records Release Form

Wellness and Sexual Health Pre-visit Form

Gynecological Health Pre-visit Form

Travel Consultation Form

Documents are in .pdf format and require Adobe Reader to view.  Download Adobe Acrobat Reader.

Edited on May 13, 2008