All new traditional undergraduate students who are not planning to compete in Warriors Athletics are required to complete the WLC Health Form and provide the necessary documentation as indicated. This information will be submitted via Patient Fusion, which links to our HIPAA-compliant Electronic Health Record at WLC Health Services. Failure to complete the required form and/or provide documentation may result in restrictions from campus activities and/or residency. The WLC Health form and necessary documentation must be completed by August 1, 2020.
To streamline this process, all of the required health-related information is separated into three sections and condensed into one form. Be prepared to complete information pertaining to your:
Personal Health History
This information will be used if you seek support at WLC Health Services and in case of emergency. The health history you submit informs our medical staff to help develop a baseline of care. As noted on the form, if you have a chronic medical condition you must also provide a copy of a recent physical exam. You may take a copy of WLC's Physical Exam Form to your doctor or submit the doctor's own form.
Personal Health Insurance
WLC Health Services requires personal health insurance information and supporting documentation in the form of a copy/photo of the front and back of your insurance card(s) and prescription benefit card, if applicable. This information will be used in case of an emergency and/or when services are being ordered that are outside the scope of practice on campus.
Immunization Information
WLC requires documentation of your current immunization record. If you do not have your immunization record, contact your health care provider or search your state's immunization registry. You will need to upload the document/picture of your immunization record or complete the WLC Immunization Form. The following immunizations are required:
- Measles, Mumps, and Rubella
- Diphtheria, Tetanus, and Pertussis
- Tetanus should be less than 10 years old
- Varicella vaccination or date of Chicken Pox disease.
- A negative TB skin test is required if you have lived abroad prior to arriving on campus.
You also must review the Vaccine Information Statements for Hepatitis B and Meningococcal ACWY.
If you have not been immunized, select that option from the drop down menu in the WLC Health Form. You will receive communication from Health Services regarding the need to complete an immunization waiver.
Patient Fusion Account Instructions
All health-related information and documentation will be submitted via Patient Fusion. To assist in the completion of the WLC Health Form, the following PDF tutorials are available to help you complete this process:
1. You will first need to create a Patient Fusion account. Please note that the email you receive is automatically generated from our Electronic Health Record. You will need to complete the following steps to submit your WLC Health Form and provide supporting documentation. After you complete these steps, then you will be able to access your WLC Health Records.
Create Your Patient Fusion Account
2. After creating your Patient Fusion account, you will have access to the WLC Health Form. Follow the steps outlined in the tutorial to complete the necessary information and submit the required form. Be sure to note any documentation required for your specific health history.
Complete Your Required Health Form
3. Patient Fusion Messages provides an easy way for you to send supporting documents or to ask questions at any time. To complete the WLC Health Form, the student must send two messages (at minimum) with the appropriate documentation:
- A copy/picture of the front & back of their personal health insurance card(s) and prescription benefit card, if applicable.
- A copy/picture of your immunization record or the fillable form.
Pending your medical needs, you may also need to provide a copy of a recent physical exam and/or your current medical treatment plans (Questions 6 and 8). If you require accommodations (Question 15), additional documentation will also be required.
Sending Messages and Attaching Documentation
Contact Health Services at 414.443.8594 or healthservices@wlc.edu if you have questions or concerns.