Health History and Immunization Record

Due June 1

Virginia state law requires you to provide us with a health history and an official immunization record. William & Mary also requires you to provide documentation of the same immunization requirement. This information must be submitted on the university's Health Evaluation Form (pdf).

When fulfilling this requirement:

  • Keep in mind the form will not be accepted if the physician completing and signing it is a family member.
  • Read and follow the instructions on the first page carefully.
  • Mail the completed document to:
    Student Health Center
    The College of William & Mary
    P.O. Box 8795
    Williamsburg, VA 23185-8795
  • Failure to complete this requirement will result in serious consequences. You may not only be prevented from beginning your coursework at William & Mary, but also may be assigned a late fee of $100 if not returned by August 31.  

If you have any questions about the Health Evaluation Form, please don't  hesitate to [[sthlth,email the Student Health Center]] or call (757) 221-4386.