Required Health Forms & Eligibility

Required medical forms for attending Westfield State University are listed below. Please have your Physician fill the forms out and return them to Westfield State University Health Services, 577 Western Ave., Westfield, MA 01086-1630. If you have any questions please contact the Health Services Office. Note that all full time undergraduate residential students are required to have meningitis vaccine or submit a signed meningitis waiver form.

Admissions Letter

Required Health Forms*

  1. Health Form
  2. TB Risk Assessment Form
  3. Meningococcal Information and Waiver Form
  4. Meningococcal Disease & College Students

* Due to the Covid-19 Pandemic, the deadline for submission of ALL Students Health Records is August 28, 2020.


All full time undergraduate students, regardless of health insurance, can utilize the Department's services. There are no fees charged for visits and medications provided. The Department provides minimal First Aid care and certain preventative vaccine clinics as a service for employees, faculty and staff. 

Confidentiality Statement

Medical records are strictly confidential. Information will not be released without written authorization from the student or a court order. Authorization forms are available at Health Services. See the University's notice of Privacy Practices.

Absence Notices

The department will no longer notify professors of absences due to federal regulations on the privacy of protected health information.