Forms

Rhode Island State Law requires that all incoming undergraduate students submit health forms and a current immunizations record prior to the arriving on campus. Graduate students must submit a current immunizations record and completed tuberculosis risk screening questionnaire prior to arriving on campus. Students, who for medical or religious reasons decline Rhode Island mandated vaccines, must complete the appropriate immunization exemption form.

** If Health Services does not receive completed health forms or a student is not compliant with Rhode Island mandated vaccines, a hold will be placed on the student's account and students will not be allowed to attend classes until cleared by Health Services.

Return Health Forms to:

Roger Williams University Health Service
One Old Ferry Road
Bristol, RI 02809-2921

OR

Fax forms to (401) 254-3305

Beginning Spring 2019 semester, all required health forms must be entered and uploaded into the patient portal.   Forms will no longer be accepted by fax or mail.