This form is required of all new Westminster students.  Please print and take with you to your physical appointment with your health care provider.  Scan and upload the completed form to the student health web portal.

Under the terms of the College and University Student Vaccination Act of the state of Pennsylvania, students living in campus housing must be immunized against meningococcal disease or sign a waiver that they have received detailed information on the risks associated with meningococcal disease and the availability and the effectiveness of vaccine and that they choose not to be vaccinated.