Medical Information Form

All students are required to have a Medical Information Form completed by a physician before arriving on campus.  Students who do not have a Medical Information Form on file with Wagner College will be restricted from moving into the residence halls, participating in Orientation activities, and attending class.  Please save or print the document linked below.

Undergraduate Medical Information Form

Graduate and Adult Learner Medical Information Form

FALL DEADLINE FOR SUBMISSION OF HEALTH REQUIREMENTS: July 1, 2013

Form must be mailed to:

Wagner College
Center for Health and Wellness
1 Campus Road
Staten Island, NY 10301