Forms

Health Forms

If you are new to the College, you must submit a health form. You can print out the health form from the link below. The health form must be completed by a health care provider and uploaded to the patient portal.

You must also log on to the Patient Portal to complete the Medical History and fill in your immunization history.

• Undergraduate/ Postbac Student Health Form
• Graduate Student Health Form
• Sickle Cell Waiver
• Exemption Form for Required Vaccines
• Records Requests
• Special Needs Dietary Form 

COVID-19: Additional Insurance Coverage access by logging into the UnitedHealthcare Student Portal.

During Summer break, the Health & Wellness Center will be available to answer questions for incoming students and health forms Tuesday and Wednesday 9 a.m.-12 p.m. (610-526-7509) or email mhawkins@brynmawr.edu