Required medical forms for attending Westfield State University are listed below. Please have your Physician fill the forms out and mail them to Westfield State University Health Services, 577 Western Ave., Westfield, MA 01086-1630. Forms may also be faxed to Health Services at 413-572-5545. Note that all full time undergraduate residential students are required to have meningitis vaccine or submit a signed meningitis waiver form.
* Student athletes should also upload their physical to ATS (Athletic Trainer System); this is the electronic medical records portal for Athletics.
*University Safe Opening Under Spring 2022/COVID
Required Health Forms*
- Health Form
- TB Risk Assessment Form
- Meningococcal Information and Waiver Form
- Meningococcal Disease & College Students
Copy of Covid vaccination card by August 1, 2021.
THE DEADLINE FOR SUBMISSION OF ALL STUDENT HEALTH RECORDS IS JULY 1, 2021.
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.
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.
The department will no longer notify professors of absences due to federal regulations on the privacy of protected health information.