New Student Health Form Information

All incoming first year students must fill out a Medical History and Physical Examination form. Forms should be submitted to the Health Center by August 1 or a hold will be placed on the student's registration.


Incoming Student Health Services Checklist: Due by August 1st

  • Complete and submit the Medical History and Physical form-your healthcare provider will complete your physical and together you should review your history and immunizations
  • Discuss and plan for any prescriptions needed during the academic year with your provider
  • Be sure all forms are signed by student or parent of students under 18yo
  • Attach a copy of the front and back of your insurance card-BE SURE YOU HAVE INSURANCE COVERAGE IN APPLETON. Find more information regarding purchasing insurance on our website.
  • Sign the Hepatitis B/Meningitis form acknowledging the increased risks of disease living on a college campus
  • Athletes must submit to the Health Center and Athletics separately


Please have your immunizations and physical complete prior to arrival on campus. Physical examinations are not available on campus.

If a vaccine is unavailable to you, you will be expected to get that vaccine at the Health Center upon arrival to campus or sign a waiver form. Contact the Health Center for cost information.


All incoming Lawrence students are required to have a physical within 1 year of the first day of classes.  Athletes are required to have a physical within six months of either (1) the first day of practice for fall sports or (2) the first day of classes for winter and spring sports.


Please email or call the Health Center with any problems or concerns.


Returning Your Forms

The New Student Medical History and Physical Examination Form can be delivered to the Health and Wellness Center in one of three ways:

Health and Wellness Department
711 E. Boldt Way, SPC 3
Appleton, WI 54911-5699




You only need to send them in one manner, for example, if you fax a form, you do not need to mail the hard copy. You will be informed if a form is unreadable or if we need an additional copy.

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