Health Services Forms

New Students

Required Health Forms

ALL new students in the Traditional Undergraduate programs* must have the following forms on file with Health Services before the first day of class of the semester you are entering.

Immunization Records are mandatory for all incoming undergraduate and transfer students for the incoming semester and are required to be turned in to Health Services prior to the first day of class, but no later than the tenth day, as students will not be able to attend classes. *You can also download a printable Immunization form or exemption forms. Then go to the Document Upload section below to upload them. They can also be mailed or faxed to Health Services (please see the Wellness Center page for mailing address and fax number).
INSURANCE EXPECTATION: All Insurance Waivers as well as a copy of the insurance card are required to be uploaded directly to the Wellfleet JU Student website. If you have submitted your information prior, we ask that you follow the link to resubmit the information to the insurance company.
All athletes who are attending Judson University are required to follow the health record requirements of the given program. All physicals, pre entrance medical record, insurance card, waiver and all associated paperwork still applies to these programs. The Athletic Training Paperwork should be completed and turned in to your coach.
Rise students who are attending Judson University are required to follow the health record requirements of the given program. All physicals, pre entrance medical record, insurance card, waiver and all associated paper still apply to these programs.

*Failure to submit immunization forms in timely manner will result in a Health Hold placed on your account that will prevent you from registering for classes or attending classes after the tenth day of the start of the semester. Additionally, failure to provide a copy of your health insurance information through the Wellfleet insurance site, if you are using your own insurance will result in a charge for JU Student Health Insurance.

*These forms are NOT required for Adult Professional, Certificate or Graduate students.

Immunization Record

Athletic and Rise Required Form Submission

Document Upload

Optional Health Forms

Covid Vax Medical/ Religious Exemptions

Faculty/Staff/ Students are eligible to complete a request for exemption from Covid Vaccination Mandate requirements on medical or religious grounds. Simply complete and sign the applicable form below in lieu of providing immunization records.

Medical/Religious Immunization Exemption

Students are eligible to complete a request for exemption from immunization requirements on medical or religious grounds. Simply complete and sign the applicable form below in lieu of providing immunization records.

Consent to Treat Minor

If a student is under the age of 18 years old, a parent/guardian can complete the Consent to Treat Minor Child form below in order to provide permission for their child to receive treatment and/or medical recommendations from appropriate medical personnel.

Release of Health Information

The Athletics department and Health Services department require similar health documents for incoming students. Complete the Release of Health Information form if you would like these departments to be able to share certain documents between departments.

Jenzabar University