Forms and Health Resources
Most Student Health and Wellness Center forms and applications can be found below.
In following the AMA Code of Medical Ethics 1.2.1, the JHU SHWC will not accept any medical forms completed by a medical clinician family member.
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
- Food Pantry
- SNAP (SOS 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
- PDF Document: Influenza Vaccine Medical Exception Form (PDF)
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
Mental Health Resources
- Counseling Center
- JHU Well-Being Website
- Calm App (app for meditation, sleep, and relaxation)
- SilverCloud (digital cognitive behavioral therapy program)
- Thriving Campus (mental health provider database)
- TimelyMD (virtual mental health support and counseling)
Specialty Providers and Pharmacies
JHU Websites
- Center for Health, Education & Wellness (CHEW)
- CHEW’s campaign for Sleep, Eat & Exercise (SEE)
- Office of Institutional Equity
- Office of the Registrar
- Ombuds Office
- Ralph S. O’Connor Recreation Center
- Residential Life
Other External Websites
- Agency for Healthcare Research and Quality
- Go Ask Alice (Q&A at Columbia University)