HEALTH REQUIREMENT FOR INCOMING STUDENTS
Fall Admission due date July 1; Spring Admission due date is January 13. Please read all of the instructions below before proceeding, as there are multiple steps to fulfilling the health requirement.
*Information received after July 1 will be subject to delay in review*
All INCOMING STUDENTS must complete:
Print, complete, sign and upload (instructions here, and below) the following forms:
Bring these to your primary care clinician to be completed and signed:
Immunizations Record or provide a complete and legible copy of immunizations
All students are required to have had a physical examination including lab work within one year of July 1, for Fall admission, January 13 for Spring admission.
Students with active or chronic health or mental health issues are encouraged to upload medical records for continuity of care
Your physical examination is required within 6 months of enrollment.
A copy of sickle cell screen or newborn sickle cell test is required or a Sickle Cell Testing Waiver must be signed, dated, and uploaded to waive the test.
Instructions for Uploading Documents within Wellesley Patient Portal:
Step 1: Scan and save each form (not page) as a separate file on your computer. For example, scan the Physical Exam and TB Screening Form (4 pages) as one file and name it appropriately using the following guidelines:
filenames can NOT include:
- special characters (ex. spaces or _)
- exceed 96 characters
- exceed 3MB.
Step 2: Log into Wellesley Patient Portal , click on Upload and choose the document you are uploading then click Select File, and locate the file, click Attach. (Do NOT click Upload yet)
Step 3: Repeat Step 2 for each form you are uploading.
Step 4: Review all the forms in your grid before you click Upload. Once you Upload them, you can not delete them.
Step 5: Select Upload. All the documents will appear under Documents already on file as a confirmation they were successfully uploaded.
REQUIRED FORMS and their corresponding titles in the Portal:
Incoming Consent To Treat= Permission for Treatment/ Authorization of Payment/ Consent for Treatment (2 pages)
Incoming Student Lab Reports= Required laboratory reports- urinalysis & hemoglobin
Incoming Student Physical Form = Wellesley College Physical Exam & TB screen (4 pages)
Other forms that may apply to you:
Insurance Card- Front And Back (IF you are waiving the Student Health Insurance Plan)
Clinical Records-PCP Or Specialist= (anything else that you want us to know about)
Meningitis Vaccine Waiver
Sickle Cell Lab Result (NCAA athletes only)
Sickle Cell Screen Waiver (NCAA athletes only)= or Screening report
Immunization Entry - Failure to complete this step will cause a significant delay in your review process.
Enter your immunizations in Wellesley Patient Portal :
Log in to the Portal, select Immunization> New
Click on text box below the immunization. A calendar will appear.
Click on the month/year to select the month vaccine was given, then use the arrows to search for the year the vaccine was given then click on apply.
Select the date the vaccine was administered.
Repeat steps 1-3 for each vaccine you have received.
Enter each immunization only one time.
You may view what you have entered in Immunization>View History
Any errors made will be corrected by our clinical review team- worry not!
Some immunizations are required, others recommended/ optional. Because you will also submit the copy provided by your clinician, the Wellesley College Health Service staff will review all of your information and ensure it is accurate.
WCHS advocates for a healthy and fully immunized college community and adheres to the Exclusion Guidelines mandated by the MA Department of Public Health.
There are two situations in which students who are not appropriately immunized may be admitted to school:
1) a medical exemption is allowed if a physician submits documentation attesting that an immunization is medically contraindicated; and
2) a religious exemption is allowed if a parent or guardian submits a written statement that immunizations conflict with their sincere religious beliefs.
Philosophical exemptions are not allowed by law in Massachusetts, even if signed by a physician.
Complete the Incoming Student Online Health History Form in Wellesley Patient Portal:
Turn your pop up blocker off (instructions). This allows for important follow up questions to pop up as you complete the Incoming Student Online Health History Form.
Log in to the Portal, select Forms> Incoming Student Online Health History Form
Answer questions slowly to ensure you answer all questions completely.
The information you enter on this Health History Form will give Health Service and the Stone Center Counseling Service information about your health. This information will be uploaded into your medical record enabling us to provide the best care possible while at Wellesley College. All of the information entered on Wellesley Patient Portal is strictly confidential and cannot be released or shared without your authorization.
Health Service staff will receive notification once this form is submitted.
You will see a red "X" on your MyWellesley Checklist until EVERY COMPONENT of the required health information has been submitted and reviewed by our clinical staff. You will receive a secure message with the status of your health information as it is reviewed by our clinical staff. If your health information is NOT complete, the secure message will explain what is missing (i.e. immunizations, lab work, etc.). Please read the message carefully before calling with questions.
Retain a copy of all documents you submit.
Do not email documents for confidentiality reasons.
To expedite the review process, please upload information that is complete.
Please direct general questions to: firstname.lastname@example.org or call 781.283.2810 during summer business hours. Email inquiries are for general questions only, as a response may take 3 days.
For detailed information about our required immunizations, play the video below:
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