Policies & Forms

Policies

Cancellation, Late Arrival, and Missed Appointment Policy

Document

Cancellation,-Late-Arrival,-and-Missed-Appointment-Policy-2024.pdf (309.85 KB)

Immunization Compliance Policy

Document

Immunization-Compliance-Policy.pdf (110.99 KB)

Patient Rights and Responsibilites

Document

WPI-SHS-Patient-Rights-and-Responsibilites.pdf (22.33 KB)

Medical Excuse Notes

Document

Medical-Excuses-and-Verification-of-Visit.pdf (203.97 KB)

Forms

Authorization to Treat a Minor

Document

Authorization-to-Treat-Minor-(SHS)-2024.pdf (152.89 KB)

New Undergraduate Student Health Forms

Document

New-undergraduate-health-requirements-packet-2024.pdf (1.34 MB)

New Graduate Student Health Forms

Document

New-graduate-health-requirements-packet-2024.pdf (983.95 KB)

Release of Medical Information

Document

Release-of-Medical-Information.pdf (256.66 KB)

Vaccine Exemption Form

Document

Vaccine-Exemption-Form.pdf (374.09 KB)

Stimulant Refill Policy

Document

Stimulant-Refill-Policy.pdf (103.4 KB)