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Student Medical Form

Wilmington College REQUIRES a number of immunization for ALL students. Please print the following Immunization Documentation Form. You may attach copies of official immunization records or have your medical professional complete this form. These can then be faxed or emailed as noted on the form. Tips and helpful info are located within the form as well. A medical form will be collected at a future date. Thank you and we look forward to seeing you at Summer Orientation 2016.


If you have any questions please contact:

Jill Young, Director of Health Services
Phone 937-481-2217
Fax 937-481-2217