Online Forms
Measles Forms
Measles Immunity Report Form
Measles Waiver Request Form
Consent To Release Information
(Download form, save it, complete form, and send the document to student.health@wwu.edu) (Electronic Docusign will only work if you download the form)
Consent To Obtain Information
(Download form, save it, complete form, and send the document to student.health@wwu.edu) (Electronic Docusign will only work if you download the form)
Authorization to Treat Minors (under 18 years of Age)
Authorization to Manually Bill the Health Services Fee (when fee wasn't automatically billed to your WWU student account)
If you are enrolled in one or more credits and weren't automatically billed the fee, you may elect to have it manually billed to your Student Account: Please call our front office at 360-650-3400 option 1 to ask to have the fee request form sent to you through your MyWesternHealth patient portal.
Request to WWU Student Health Center to Receive and Store Medication
We can assist you in receiving and storing medications that need to be shipped directly to a health care facility. If you have a medication that needs to be shipped directly to a health care facility, and you wish to have the medication shipped to the Student Health Center, you must complete a request form (link is below). Only medications that are approved will be stored at SHC.
Request to WWU Student Health Center to Receive and Store Medication
(Download form, save it, complete form, and send the document to student.health@wwu.edu) (Electronic Docusign will only work if you download the form)
Financial Hardship Waiver
If you are unable to pay the Health Services fee due to a financial hardship, you may request a waiver. Email your request to student.health@wwu.edu.
Send Completed Records to:
516 High Street, MS 9132
Bellingham, WA 98225
Please note this email address is neither encrypted nor secure. There is a potential risk your information could be accessed or viewed by unintended eyes. If you are concerned about your Personal Health Information fax the information to us instead.