STUDENT HEALTH CENTER

Welcome to Meredith College from the Student Health team!  Listed below are the specific forms that you will need to complete in the Meredith College Wellness Portal. Please note that some of the forms will need to be printed and completed by your primary care provider. 

All forms can be accessed through the student wellness portal, on the front page of the portal under “Pending Forms”, using your Meredith email and password. You will gain access to the portal using your Meredith account information prior to your on-campus StartStrong session. 

You are encouraged to start working on the paper forms (downloadable from this page) now even before you have your Meredith College credentials to access the portal. 

The Fall 2022 deadline for submission of all required forms is July 1, 2022.

Not sure how to use the new portal? Watch our guide to completing and uploading information to the Student Wellness Portal.

Required Forms

The forms listed below must be completed by all students. This includes all applicable forms in the Portal Forms section and all applicable forms in the Paper Forms section. Student athletes may have some additional forms that need to be completed.

Portal Forms 
These forms should be completed in your student wellness portal and can be found under “Pending Forms.” Any forms that must be printed from this section should be submitted via the portal once completed.
  • Authorization and Consent to Treat (portal form)
  • Self Report of Medical History (portal form)
  • Self Report of Family History (portal form)
  • Communication Preferences (portal form)
  • Emergency Contacts (portal form)
  • Tuberculosis (TB) Screening (portal form)
    • *TB Risk Assessment (PDF, download here) – This form should only be completed if your portal TB Screening indicates you need a risk assessment. You will need to print it off and take it to your healthcare provider. Completed forms should be submitted via the “Document Upload” section of the student wellness portal like all forms within the “Paper Forms” section.
  • Insurance Information (external BCBS portal form) Meredith College requires all full-time undergraduates, licensure only, pre-health, I/O Psych, international, study abroad, and dietetic interns to show proof of insurance annually that meets the college’s minimum requirements. Action is required prior to the start of each academic year to either submit a waiver or enroll in the Meredith sponsored BCBS plan. This requirement is checked at the beginning of each semester to ensure the coverage has not changed between semesters. To learn more about the Meredith sponsored BCBS student insurance plan, how to enroll, or how to waive out, please visit the Student Health Insurance page on our website.
Paper Forms 

Complete these forms and submit them through the student wellness portal with the appropriate/corresponding portal form.

  • Physical Exam Form (PDF, download here) – This form is to be printed off and taken to your primary care provider for completion and then uploaded to the portal under the Personal Medical History form
  • Immunization Record (PDF, download here) – The State of North Carolina requires that all immunization records be completed and signed by a healthcare provider (MD, DO, NP, PA) in order to be accepted as valid records. Please download and complete this form with your provider. When completed and signed, log in to the student wellness portal, add the dates of your immunizations in the online immunization portal form and then upload a scanned copy of your signed record under the State-Required Immunization form. You will not be able to submit your immunization record through the portal without uploading the signed record. To learn more about Meredith’s immunization requirements, please visit the Vaccine and Exemptions page on our website.
  • Underage Consent to Treat (PDF, download here) – If a student is under the age of 18 years old this form must be completed and signed by a guardian. Please complete and submit the completed form through the portal consent form. 
Optional Paper Forms
Fall 2022 exemption forms must be recieved in the Student Wellness Portal by noon on Friday, August 19, 2022. Forms submitted after noon on the deadline day will not be reviewed.
  • Medical exemptions can only be requested by a physician licensed to practice medicine in North Carolina. Medical exemptions for required immunizations will only be granted upon submission of either a Medical Exemption Statement (DHHS 3987) or Physicians Request for Medical Exemption (DHHS 3995).  Both of these exemptions require a signature by a Physician in North Carolina. These forms can be found on the Immunize NC website.
  • COVID Vaccine Medical Exemption (PDF, download here) – This form is only used for non-state required vaccines, such as COVID. If you have a medical exemption that prevents you from receiving the COVID vaccine, this form is to be printed off and taken to your physician for completion and then uploaded to the Student Wellness Portal under the “Document Upload” tab and then select “Immunizations”. 
  • Vaccine Religious Exemption (PDF, download here) – If you require a religious exemption to any vaccines, download this form, complete it, and submit it through the Student Wellness Portal under the “Document Upload” tab and then select “Immunizations”.
Student Athlete Forms

All student athletes should complete the forms below in addition to all applicable forms on this page, including all applicable forms in the Portal Forms and Paper Forms sections. Please contact your athletic trainer if you have questions regarding these forms or submitting information.

  • Sickle Cell Education Acknowledgement (portal form) – Per the January Division III NCAA announcement starting in August 2022, all student-athletes are required to review sickle cell education and sign an attestation. Please upload your sickle cell results to the “Document Upload” section of the Student Wellness Portal.
  • Release of Information Form (portal form) – Consent to share the following forms with both the Student Health Center and Athletic Training: Personal Health History, Family Health History, Communication Preferences, Emergency Contact Information, and Immunization History.
  • Parent Insurance Information Form (paper form) – Athletics needs this information on file for every student-athlete prior to participation as a request from our secondary insurance provider, 1st Agency. If you are self-insured, please fill out the form based on your personal policy information. Please upload this form to the Insurance Policy Form under “My Forms” in the Student Wellness Portal.

Health and Well-Being Resources

Mental Health Resources  

If you would like to communicate with the Counseling Center about mental health resources on campus please email counselingcenter@meredith.edu or send them a secure message in the student wellness portal.

Allergy Injections

If you currently receive allergy injections and would like to continue to receive them at the Student Health Center, please email healthcenter@meredith.edu or send us a secure message in the student wellness portal if you are interested in this service. 

Disability Services

The college welcomes requests for accommodations related to disability and will grant those that are determined to be reasonable. To make such a request, or begin a conversation, please call email disabilityservices@meredith.edu or send them a secure message in the student wellness portal. Accommodation documentation can be submitted directly through the Meredith College Wellness Portal. 

Information About Preventable Diseases

North Carolina law requires that we provide all new incoming students and parents with information about the following:

Frequently Asked Questions

You should complete as many of the portal and health forms as you can including the self report health history and TB screening. Be sure to look at the immunization requirements which can be found on the Health Center webpage in preparation for your appointment. We will need all forms completed no later than July 1, 2022.  

No. Physical exams performed by a relative will not be accepted.

Yes, these forms will provide the basis for your medical chart which will be utilized when you visit the Student Health Center. You must complete these forms in addition to any forms that may be required separately by Meredith College Athletic Department. Some forms can be shared between departments after a release of information is completed.

NC Immunization Law (General Statute 130A 155.1) states that freshmen entering college for the first time must present physician-signed/clinic stamped evidence of the immunizations noted as required on the health form. The law requires that students be pulled from classes if they have not presented an immunization record. Please note that the student is not permitted to pick and choose what state required immunizations they want to receive. To learn more about Meredith’s immunization requirements, please visit the Vaccine and Exemptions page on our website.

North Carolina law provides for only two types of exemptions from required immunizations:

  • Medical exemptions can only be requested by a physician licensed to practice medicine in North Carolina. Medical exemptions for required immunizations will only be granted upon submission of either a Medical Exemption Statement (DHHS 3987) or Physicians Request for Medical Exemption (DHHS 3995).  Both of these exemptions require a signature by a Physician in North Carolina. These forms can be found on the Immunize NC website.
  • Individuals whose religious beliefs prevent them from obtaining any immunizations should complete a religious exemption form. Please download this form, complete it, and submit it through the portal. According to North Carolina general statute 130A-157, “upon submission of a written statement of the bona fide religious beliefs and opposition to immunizations the person may attend college without presenting a certificate of immunization”. This form must be written and signed by the student if age eighteen or older or the parent if the student is under the age of eighteen.

You should start the series, have your provider note the dates on your immunization record and send your immunization record to us. We will assist you in completing the series after your arrival here or let you know if it is acceptable for you to complete the series at home over the academic breaks. The series must be completed within an acceptable timeframe or North Carolina law requires that you be removed from classes.

The NCAA-required sickle cell test report should be uploaded in the documents on the student wellness portal. Per NCAA requirements, you will also need to sign and acknowledge the provided sickle cell education form on the student wellness portal. 

For any questions about student health insurance, please go to the Student Health Insurance page or contact us if your question is not answered there.