- Prematriculation Health Center Packet 2017 (To be completed by first-year students only.)
- Varsity Physical Form 3.14.17 (To be completed by upper-class varsity athletes only.)
- Sickle Cell Testing (Required of new Varsity Athletes)
- Authorization: Disclosure of Health Care Information
Completed authorization form can be:
– Mailed to: Winslow Health Center, 520 N Main St, Box 26, Meadville, PA 16335
– Faxed to: (814) 336-3050
– Emailed to: email@example.com
Requests will be completed within 30 days.
All students who matriculate at Allegheny College are required to complete the Prematriculation Health Status Report. Completion of this requirement is universal for each student entering Allegheny College This information is designed to safeguard the health and well-being of our student body. The Prematriculation Health Status Report is a 5-part document that includes the following forms:
- Consent Form
- Report of Medical History
- Report of Physical Examination (Must be within one year of your arrival.)
- Tuberculosis Risk Assessment
Instructions for students:
Complete your portion of the Consent and Report of Medical History forms. Your health care provider is responsible for signing the Medical History, Physical Examination, Immunization, and TB Risk Assessment forms. Please schedule an appointment with your physician at your earliest opportunity in order to complete your Health Status Report by the July 1, 2017 deadline. Questions regarding completion of the Health Status Report can be directed to Winslow Health Center at 814-332-4355.
Completed forms can be mailed to Winslow Health Center, 520 North Main Street, Box 26, Meadville, PA 16335, or faxed to 814-336-3050.