{"id":24,"date":"2017-12-20T19:58:42","date_gmt":"2017-12-20T19:58:42","guid":{"rendered":"http:\/\/wcsu.wpengine.com\/healthservices\/onlineforms\/"},"modified":"2026-01-08T13:59:41","modified_gmt":"2026-01-08T13:59:41","slug":"onlineforms","status":"publish","type":"page","link":"https:\/\/www.wcsu.edu\/healthservices\/onlineforms\/","title":{"rendered":"Online Medical Forms"},"content":{"rendered":"<p align=\"left\"><span style=\"font-size: 12pt\">Upon acceptance to WCSU <strong>all incoming students (full-time, part-time, graduate &amp; international) are required<\/strong> to submit a Connecticut State University Student Health Services Form, which includes the Immunization Requirements.\u00a0<\/span><\/p>\n<p><strong><span style=\"font-size: 18pt\">\u00a0 <\/span><span style=\"font-size: 12pt\"><span style=\"font-size: 14pt\"><span style=\"font-size: 18pt\">Connecticut State University Student Health Services Form (Required)<\/span><\/span><\/span><\/strong><\/p>\n<p><span style=\"text-decoration: underline\"><strong><span style=\"font-size: 12pt\"><span style=\"font-size: 14pt\">\u00a0<\/span><\/span><i class=\"fa fa-file-pdf-o\" style=\"padding-left: 5px;padding-bottom: 5px\"><\/i><em><span style=\"font-size: 12pt\"><a href=\"https:\/\/www.wcsu.edu\/healthservices\/onlineforms\/csu-form-new-orange-version\/\" rel=\"attachment wp-att-752\">Click this link to access the C.S.U. Health form 2023<\/a><\/span><\/em><\/strong><\/span><\/p>\n<ul>\n<li style=\"list-style-type: none\">\n<ul>\n<li><span style=\"font-size: 14pt\">a.\u00a0 Please download the form above or detach from your &#8220;Arrive in 5&#8221; packet<\/span><\/li>\n<li><span style=\"font-size: 14pt\">b.\u00a0 Fill out page 2 of the form (medical history &amp; emergency contact etc)<\/span><\/li>\n<li><span style=\"font-size: 14pt\">c.\u00a0 Have your medical provider fill out and sign page 1 (immunization record) <\/span><strong><span style=\"text-decoration: underline\"><span style=\"font-size: 14pt\">OR <\/span><\/span><\/strong><span style=\"font-size: 14pt\">attach a printed immunization list and TB risk assessment<\/span><\/li>\n<li><span style=\"font-size: 14pt\">d.\u00a0 Student (and parent if student is under 18 years old) <span style=\"text-decoration: underline\">sign bottom of page 1<\/span><\/span><\/li>\n<li><span style=\"font-size: 14pt\"><strong><span style=\"color: #ff6600\">When completed, form should be uploaded to the Medicat Patient Portal<\/span><\/strong>\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt\">Other Health Services Forms (less common):<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 12pt\"><strong><a class=\"pdfLink\" href=\"https:\/\/www.wcsu.edu\/healthservices\/wp-content\/uploads\/sites\/51\/2021\/12\/Medical-Immunization-Exemption-12-8-21-1.pdf\">Medical Immunization Exemption Form<\/a><\/strong><\/span><\/li>\n<li><span style=\"font-size: 12pt\"><em><strong><a href=\"https:\/\/www.wcsu.edu\/healthservices\/immunization-records\/immunization-release-pdf-version\/\" rel=\"attachment wp-att-599\">Immunization Records Release Form<\/a><\/strong><\/em><\/span><\/li>\n<li><span style=\"font-size: 12pt\">\u00a0<span style=\"text-decoration: underline\">&#8220;Religious&#8221;\/Non-Medical Exemptions<\/span><\/span>: In accordance with Public Act 21-6, WCSU is<strong><span style=\"text-decoration: underline\"> not<\/span><\/strong> accepting any new Exemptions on the basis of religion.\u00a0 If you have received an exemption dated and verified prior to April 27th, 2021 you may submit it for review to HealthServices@wcsu.edu or fax to (203) 837-8583.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p align=\"left\"><strong><a href=\"http:\/\/wcsu.wpengine.com\/healthservices\/laboratory-resources\/\"><em>Nearby Laboratory Resources<\/em><\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p align=\"left\"><span style=\"font-size: 12pt;color: #0000ff\">Access the Patient Portal:<\/span><\/p>\n<p align=\"left\"><span style=\"text-decoration: underline\"><span style=\"font-size: 24pt;color: #ff6600\"><a style=\"color: #ff6600\" href=\"https:\/\/wcsu.medicatconnect.com\/\"><strong>MEDICAT Patient PORTAL<\/strong><\/a><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Upon acceptance to WCSU all incoming students (full-time, part-time, graduate &amp; international) are required to submit a Connecticut State University Student Health Services Form, which includes the Immunization Requirements.\u00a0 \u00a0 Connecticut State University Student Health Services Form (Required) \u00a0Click this &hellip;<\/p>\n","protected":false},"author":297,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-24","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.wcsu.edu\/healthservices\/wp-json\/wp\/v2\/pages\/24","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wcsu.edu\/healthservices\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wcsu.edu\/healthservices\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wcsu.edu\/healthservices\/wp-json\/wp\/v2\/users\/297"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wcsu.edu\/healthservices\/wp-json\/wp\/v2\/comments?post=24"}],"version-history":[{"count":0,"href":"https:\/\/www.wcsu.edu\/healthservices\/wp-json\/wp\/v2\/pages\/24\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.wcsu.edu\/healthservices\/wp-json\/wp\/v2\/media?parent=24"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}