Back to Current Students WELLNESS/HEALTH SERVICES

Campus Clinic Health Forms

Please complete the following:

Complete this Electronic Form

  1. Once it is filled out completely, save it to your computer witht he following file name:
    • Last Name, First Name, Student ID.doc (Example: Smith, Vivian 661217.doc)
  2. After you have save the document you can:
    • Print and mail to Student Health Center, Pyle Box 1231 (preferred method)
    • Email the form to wchealthcenter@wilmington.edu
    • Fax it to Admissions at 937-382-8542

Required Immunizations

All forms should be mailed or faxed to:

Director of Health Services
1870 Quaker Way
Wilmington, OH 45177
fax: 937-383-8535

For questions, call:

Wilmington College main number: (937) 382-6661
Director of Health Services
Jill Young, ext. 217