Welcome to Wayne State University and the Campus Health Center!
Please note that Wayne State University policy states that all students living on campus must have an immunization record on file with Campus Health Center prior to moving in. Print the form below and have your health care provider complete it or attach a copy of your immunization records. You can mail the form, fax it or bring it to move-in day.
Complete the following forms and mail them, fax them, or bring them with you on move-in day. All forms are in PDF format.
|All patients must complete this form once per calendar year. A parent or guardian must consent if the patient is under 18 years of age.|
|All new students living on campus must complete this form prior to moving in.|