Get Wofford College Medical Form And Immunization Record

Completing the Wofford College Medical Form and Immunization Record is essential for your health services registration. This guide provides step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete the medical form and immunization record online.

1. Press the ‘Get Form’ button to obtain the form and open it in an online editor.
2. Begin with entering your name in the designated fields. Ensure you print your last name, first name, and middle name clearly.
3. Fill in your date of birth. Indicate the month, day, and year in the specified format. Specify your gender by selecting either male or female.
4. Provide your contact details by entering your student cell phone number and W number in the respective fields. Include your home address, city, state, and zip code accurately.
5. Identify your parent or guardian by entering their name and contact numbers including home, work, and cell phone.
6. In case of an emergency, specify the name and contact number of the individual who should be notified.
7. Fill in the name of your personal physician along with their address and phone number.
8. Indicate your entering year, whether you are a freshman, sophomore, junior, or senior. If you are transferring from another university, please respond to the question accordingly.
9. Review the instructions regarding submission deadlines and ensure you complete the form before the specified date.
10. Read the Notice of Privacy Practices carefully. After understanding, sign and date the acknowledgment statement.
11. If you have health insurance, complete the requested information for yourself and the insured parent, ensuring to attach a copy of the front and back of the insurance card.
12. If you are not insured, please sign the required statement confirming that you will not be insured.
13. Review the authorization and consent section thoroughly, then provide your signature and date. If applicable, include your parent or guardian's signature.
14. Once you have completed all sections, you can save your changes, download, print, or share the finalized form as necessary.

Complete your Wofford College Medical Form and Immunization Record online today to ensure your health services registration.