Student Required Health Forms

All undergraduate students are required to submit the forms listed in the new undergraduate student health requirements packet and enter individual immunization dates for required vaccines into the WPI Student Health Portal by June 27, 2023. 

Included in the new student health requirements packet are the following documents:

• Immunization Record (individual immunization dates must be entered in the health portal)
• Consent Form
• Physical Examination Form
• Tuberculosis (TB) Screening Questionnaire
• Meningitis Waiver

Questions about which forms to complete or how to navigate the health portal? Please check out the video tutorial below. 

Graduate Students

All graduate students are required to submit the forms listed in the new graduate student health requirements packet and enter individual immunization dates for required vaccines into the WPI Student Health Portal by June 27, 2023. If you are admitted after the June 27th deadline, you have until August 24, 2023 to upload your health forms and enter immunizations to the Student Health Portal.

Included in the new student health requirements packet are the following documents:

• Immunization Record (individual immunization dates must be entered in the health portal)
• Tuberculosis (TB) Screening Questionnaire
• Meningitis Waiver

Questions about which forms to complete or how to navigate the health portal? Please check out the video tutorial below. 

Log into our Secure Health Portal to upload forms and documents and access important health-related messages, laboratory and x-ray results, educational handouts, and more.

Please make sure to use your WPI username (not your full email address) when logging into the WPI Student Health Portal. 

After you upload your forms into the online secure patient portal, please input each immunization date under the “immune” tab as documented on your health record. You must upload your health forms AND input the immunization dates for each required vaccine for the Health Services Staff to review. 

The video below walks you through the process of entering immunization dates into the health portal and uploading health forms. 

Forms can be completed and uploaded to the Student Health Portal. We will only contact you if we require additional information. Please check your WPI emails - we will send you messages in the health portal, but notifications go to your WPI email address. ​Please do not email regarding health forms; it is not a secure way to transmit confidential health information.

Please make sure to use your WPI username (not your full email address) when logging into the WPI Student Health Portal. 

The video below walks you through the process of entering immunization dates into the health portal and uploading health forms. 

WPI provides a process for students to submit a request for a medical or religious exemption for all required vaccinations. Students must complete a Vaccine Exemption Form and specify whether they are asking for a medical or religious exemption. If a student requests a medical exemption, they must upload a Medical Provider Exemption Letter from their healthcare provider in addition to the Vaccine Exemption Form. See the instructions below. 

To access and upload the exemption form, please complete the following steps: 

1. Download, print, complete, and sign the Student Vaccination Exemption Form.
2. To upload the completed form, log into the WPI Student Health Portal 
3. Select the upload tab; scroll down to see the drop-down list of documents available for upload. 
4. Select "Student Vaccine Exemption Form" and upload the completed exemption form. 
5. Select "Medical Provider Exemption Letter" from the drop-down list, select file, and upload the exemption letter if required. 

The preferred method is electronic upload to our secure health portal. To log in, use your WPI username (not your full email address) and password. Remember, always keep hard copies of these documents for your records.

The tuberculosis risk questionnaire does not need to be filled out by your medical provider, it simply needs their name written in the appropriate space on the form. Please complete the form on your own by checking the applicable boxes. If you answer "yes" to any of the questions please reach out to your medical povider as additional testing is required.

Our staff will review your answers and reach out to you directly if any additional actions need to be taken.

Ideally, we can suggest ways for you to get your vaccine prior to coming to campus, such as going to a travel clinic or urgent care clinic. Otherwise you will have to make arrangements to get your vaccine as soon as you arrive in the United States, however, this is for extenuating circumstances only. Student Health Services typically arranges vaccination clinics once/year, typically in October, when you can get many of your vaccines (please check with your insurance company regarding coverage of vaccines). Otherwise, it will be your responsibility to get all of your required vaccines. 

Information about the student health insurance plan can be found here, including information about the waiver and enrollment process.

Please contact the Bursar’s Office through email or at 508-831-5203 for more information on waiving the WPI Student Health Insurance.

As long as the physical is within the last calendar year and signed (electronic or e-signature is fine), we will accept them. Immunization records also need to have a signature of authorized personnel. If you had titers drawn because you do not have documentation of vaccines or illnesses, please also submit these blood results.

Please make sure to upload documentation of the required forms and immunization documents as soon as possible if they are scheduled after the deadline. You will continue to receive regular communication from our office until your medical record is complete, and you are compliant with all of our required vaccines and health forms. 

If you have a physical exam from last year, you can upload that to the WPI Student Health Portal until you obtain the updated document. 

Please call WPI Student Health Services (SHS) at 508-831-5520 to discuss any specific questions.