First Year Students - Wellness Examination Form

The form MUST be completed, in its entirety, by a licensed Physician, Nurse Practitioner (NP) or Physician’s Assistant (PA).

Overview: It CANNOT be completed by a family member. The complete physical examination must have been completed within 12 months prior to the date the student arrives to campus. TB screening is required as a part of this examination.

View / Download PDF
PDF Preview of Wellness Examination Form

(Viewing PDFs requires browser plugin support and/or Adobe Acrobat Reader)

It appears your Web browser is not configured to display PDF files. No worries, just download the file.