College of Wooster Independent Minds, Working Together
  • Skip to navigation
  • Skip to site tools
Forms
Home > Student Life > Health and Wellness Services > Forms

Forms

  • Student Health Information Form
    There are two pages for this Health Form. Please make certain that both pages are faxed to us.
  • Self-Funded Claim Form
    The insurance will not pay any claims until this form is filled out.  Only one form needs filled out per injury or illness regardless of number of appointments.
Wooster Campus Photo

See Also

  • About Wooster
  • Campus Events
  • Music & the Arts

Take Action

  • Access Scotmail
  • Find Your Major
  • Explore Extracurriculars
  • Study Abroad
  • About Wooster
  • Admissions & Financial Aid
  • Academics
  • Independent Study
  • Music & the Arts
  • Athletics
  • Student Life
  • Giving
  • Residence Life
  • Campus Dining Services
  • Student Activities & Organizations
  • Governance
  • Health and Wellness Services
    • Staff
    • Staff Only (Login Required)
    • Student Groups
    • Location, Hours & Appointments
    • Forms
    • Insurance
    • Counseling Services
    • Medical Services
    • Health Education
  • Dean of Students
  • Interfaith Campus Ministries
  • Security & Protective Services

Contact Wooster

Longbrake Student Wellness Ctr

Student Wellness Center
570 E. Wayne Avenue
Wooster, OH 44691
Phone: 330-263-2319
Fax: 330-263-2369

  • Current Students
  • Faculty & Staff
  • Parents & Families
  • Alumni & Friends
  • News & Events
  • Offices & Directories
  • iWooster
Visit us on Facebook! Visit us on Flickr! Visit us on Linkedin! Visit us on Twitter! Visit us on YouTube! 

1189 Beall Avenue, Wooster, Ohio 44691. (330) 263-2000

© The College of Wooster. All Rights Reserved. Map and Directions | Employment | A to Z Index | Contact Us | Terms and Conditions | Libraries | ScotMail | ScotWeb | ScotBlogs | WHN