One health form will be mailed to you, or you may download the form by clicking on the links to the right. You will receive a Medical History and Examination Form, which must be completed and signed by the student (or parent if student is not yet 18 years of age) and the physician prior to admission and entry into campus housing. Incomplete or unsigned forms will result in an incomplete health file.
All international students should be advised that they will need additional lab work (a blood test) upon arrival at Lawrence if their Tuberculosis forms (TB Screening Questionnaire & TB Risk Assessment) are not correctly completed and/or the TB Risk Assessment is not signed by a physician. This test will cost approximately $110.00 and may or may not be covered by your insurance.
Please have your immunizations prior to arrival on campus. Also, be aware that physical exams are not available on campus.
Mail forms to:
Buchanan Kiewit Wellness Center
711 East Boldt Way, SPC #03
Appleton, WI 54911-5626