Forms and Health Resources
Most Student Health and Wellness Center forms and applications can be found below.
Advance Directives
Allergy forms
Blood Draw Protocol:
Consent Forms
- PDF Document: Consent to Medical and Surgical Procedure (PDF)
- Parental Consent to Administer Vaccine to a Minor
Food Insecurity Resources at JHU
- Free Food Alert
- CHEW Texting Alert for relevant Health Information
- Food Pantry
- SNAP (DOSL case managers will assist students with applying)
Illness Note Policy
Immunization Compliance
- PDF Document: Pre- Entrance Health Form (PDF) (eligible undergrad, graduate, visiting and special students)
- PDF Document: Post-doctoral Health Form (PDF) (post-docs only)
- PDF Document: Influenza Vaccine Information Statement (PDF)
- CDC VIS – Vaccine Information Statements
Medical Leave of Absence
Medical Records
- PDF Document: Authorization for Release of Health Information(PDF)
(Please note that incoming students requesting parental release should come to the Student Health & Wellness Center to complete the form in person.)
Medical Orders for Life-Sustaining Treatment
Specialty Providers
Additional Resources
- Condom Jay Request Form
- Go Ask Alice (Q&A at Columbia University)
- Journal Sleep
JHU Websites
- Center for Health, Education & Wellness (CHEW)
- CHEW’s campaign for Sleep, Eat & Exercise (SEE)
- Counseling Center
- Office of Institutional Equity
- Office of the Registrar
- Ralph S. O’Connor Recreation Center
- Residential Life