Forms

As part of a healthy campus the following forms must be completed by all new undergraduate students prior to registration finalization.

Health Record
TB Screening
Physical Exam
Insurance Waiver (click on self service/forms) & Notice of Privacy Practices 
Authorization for Treatment

Check out mywwu to complete the Health Record and Insurance Waiver forms online, please note that mywwu works best using Internet Explorer

Insurance Forms

Every year all students (new, continuing or returning) must fill out an Insurance Waiver form.
 
Insurance Waiver Form 2011-2012 (click self service/forms)
2011-2012 Insurance Brochure
2011-2012 Accident Insurance Brochure 

Consent for Release of Information

Release of Information Form

You will need to print, complete, sign, and either fax this form to (509) 527-2426, personally deliver to, or send this form via regular mail to: Walla Walla University
Campus Health & Wellness
133 South College Avenue
College Place, WA 99324


Documents may be viewed and printed using Adobe®
Acrobat® Reader -- available at no cost from Adobe®.com.

Page maintained by Mary Lynn Grizzell
Last update on November 14, 2011