Health Forms & Requirements

As a prerequisite for registration, Johnson & Wales University requires that all new, full-time students — both residents and commuters — must submit documented proof of the following:

• Physical exam within the past 12 months
  Download and complete Examination Form 2 (84K PDF). It must be signed by a physician. If you are under 18 the form must also be signed by a parent or guardian.
• Three (3) tetanus-diphtheria vaccines (DTP/DTaP/Td) with one Td booster dose within last 10 years (required)
• Negative TB test or chest x-ray within the last year is required for entering students who are from highly endemic countries and have been residents in the United States for less than five (5) years
• Two (2) MMRs: measles, mumps, rubella vaccine (required)
• Hepatitis B series and Chicken Pox vaccine (required)
• Meningitis vaccine and Hepatitis A vaccine (strongly recommended)
• If you plan to compete on one of our athletic teams, Physical Exam Form 2A (57K PDF) must also be completed

Failure to meet any of these requirements will result in a Health Services hold being placed on your account, which will prohibit you from registering/reinstating at the university. In addition, since you will no longer be considered an active, full-time student, you will not be eligible to reside on campus and will lose your housing assignment. All documents must be submitted to Health & Counseling Services before a hold will be removed.

Confidentiality
You have a right to confidential health care. At Health & Counseling Services, all medical information is confidential and will not be released without written consent, unless otherwise required by law.

If you would like your medical records released to our office or released to a third party, contact our office for the appropriate forms.

Health Services FAQ