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Health & Wellness Center | Health Forms

For Incoming Students

Trinity Washington University requires that incoming students comply with the Pre-Admission Health Policy as listed below:

1. Complete the Health History form, located below. Completely fill out these forms and return to the Health and Wellness Center on the 4th Floor of Main Building or Scan and email the form to

2. Schedule a physical exam with your health care provider, and submit the medical/health form to the Health and Wellness Center. All forms must be completed and signed by your health care provider, including the Immunization Record prior to the start of the semester. If you are unable to schedule a physical exam with your health care provider and have paid the Health Center fee, an exam may be performed by our staff.

3.  Proof of major medical insurance submitted with a copy of your valid insurance card.

Forms can all be scanned and emailed to


Immunization Record 2015-16

TB Screening Form 2015-16

Health History 2015-16

Clinical Evaluation 2015-16

HIPPA FORM 2015-16

Mandatory Meningitis Vaccine Information

For more information contact the Health and Wellness Center at 202-884-9615.



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