Forms

WFU Student Health Service Consent for Telehealth Services

This Consent for Telehealth contains important information about delivering clinical services using audio and video through the phone or the Internet. Please read this carefully and contact your provider (by calling 336-758-5218) if you have any questions. This Consent is in addition to, and does not replace, the Consent for treatment at the WFU Student Health Service received from each student at matriculation to Wake Forest University.

Consent for Telehealth Services


2020 Health and Immunization Form – Due July 1

This is a mandatory form for all incoming Wake Forest Undergraduate and Graduate Students. this form must be turned in by July 01 or your registration for classes could be in jeopardy.  For a list of required vaccinations, please click this link Required-vaccinations (2018 – 2019) .

Note: Individuals who are only enrolled in Summer School and are not ongoing Wake Forest students do not need to have a physical examination (page 3). These individuals should, however, complete the remainder of this form.

2020 Health Information Immunization Form


Allergy Injection Clinic Information

SHS provides an allergy injection clinic at WFU.  In order to receive your injections here, the following documentation must be submitted along with allergy serum vials.  For more information, please click Allergy Clinic Guidelines.

Patient Agreement     Allergist Order Forms


Documentation Required for Late Drops, Medical Leaves (CES) and Other Academic Relief Related to Medical or Mental Health

Documentation-of-Medical-Issues-Affecting-Academic-Status


Documentation Required Prior to Returning from Medical/Mental Health Leave of Absence (CES)

Readmission Questionnaire for Medical/Mental Health (CES)

Readmission Questionnaire in Simplified Chinese for Medical/Mental Health (CES)


Summer 2019 Program Medical Form

(for Conference/Camp attendees – not for students enrolled in Summer School)

Download Summer Program Form


Information for Summer Program Participants

Download Information


Women’s Health History

For use only by women scheduled for annual Pap smear at WFU Student Health. Please complete before gynecologic exams at the Student Health Service.

Download Women’s Health History


WFU Student Health Release of Information Form

Download Release Form


Documenting a Physical or Psychiatric Disability

Download Form


Medical Documentation for Special Housing or Special Dining Requests

More Info


Information/Documents for Students with Chronic Medical Problems and Disabilities:

If you have an identified medical problem or other condition that may require additional resources while you are at Wake Forest or may require academic, housing, dining, or other reasonable accommodations please visit below for information about available campus and local resources.

Available Resources