Health History and Immunization Record

Due January 10

Virginia state law requires you to provide us with a health history and an official immunization record. W&M also requires you to provide documentation of the same immunization requirement and a physician documented medical history performed within the twelve months preceding your initial enrollment. This information must be submitted on W&M's health evaluation form.

Health Evaluation Form (pdf) 

Please do the following 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
    College of William & Mary
    P.O. Box 8795
    Williamsburg, VA 23185-8795
  • Remember that failure to complete this requirement will result in serious consequences that may prevent you from beginning your coursework at William & Mary.

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.