Wheaton College Norton, Massachusetts
Wheaton College
Health & Wellness

Campus Life

New Student Health Forms

Freshmen and Transfer Students: The following health forms must be received by July 1, 2014. If the required medical information is not received by the due date, your course registration may be at risk.

Download and return your completed forms via US mail to Cynthia Maricle, RN, Student Health Services Coordinator, Wheaton College, Norton, MA 02766. Faxing is unreliable and not recommended. Please make copies for your records.

Welcome letter from Jeff Klug, Associate Dean of Students and Director of Counseling and Health Services

HEALTH FORMS:

  1. Handy Health Forms Checklist (pdf)
  2. Personal Information Form (pdf)
  3. Physical Exam and Immunization Record (pdf) Office copies accepted. Hepatitis B, MMR, and Varicella vaccine series must be initiated before arriving on campus.
  4. TB Risk Questionnaire (pdf)
  5. Health History (pdf)
  6. Health Insurance Checklist (pdf)
  7. Norton Medical Center Registration Form (pdf)
  8. Study Memorial Hospital Disposition Information Form (pdf)
  9. Meningitis Waiver Form and Important Information (pdf)
  10. Medi-Alert Form (pdf) Optional

 

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