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Health Form

All new students are required to complete the following health form in order to be in compliance with West Virginia Wesleyan College and West Virginia State law. In addition to the health form, all new students must also submit a copy of their insurance cards. We ask that you please complete the fillable PDF form below, print it and have it signed by a health care professional, and follow the directions on page one to scan the completed form. We ask that all forms please be submitted to by July 15th, 2019.

Your health form will not considered complete until each of the following are received:

  • The following vaccinations:
    • Tdap
    • MMR
    • IPV/OPV
    • Varicella
    • Meningitis
    • Tuberculin
  • Proof of health insurance

WVWC Health Form