Health Services

HEALTH CENTER FORMS

 

To download forms, please click on the links below.

Forms for Incoming Students:

Medical/Health Forms Packet  - Due by July 1, 2013

To learn more about university-sponsored insurance, go to www.gallagherkoster.com/wesleyan. Click here for insurance FAQs.

If you need to contact the Health Center, please call 860-685-2470 or email healthforms@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

Oral Contraceptive (Birth Control Pill) Info

Travel Consultation Form

 

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