Downloadable Forms

All incoming students must complete the Tuberculosis Screening Questionnaire located in their Lindley Health Portal. If the answer to any of the screening questions is YES, the student will be directed to this form which should be completed by a health care provider. It can then be submitted electronically no later than July 1st.

Special housing is extremely limited. Only those students with the greatest medical need(s) will be recommended for special housing arrangements. In order to make this determination, it is important that the medical documentation supporting the request be complete. Please note that submitting this form does not constitute a request for disability accommodations.

This form is to be completed by the parent/guardian of incoming students who will be under age 18 at the time they first arrive on campus. If applicable, a link will be provided to the incoming student’s Lindley Health Portal for electronic submission no later than July 1st.

This form can be used to request that the Student Health Center share specific health information with another provider or another party (such as a dean or your parents), or to request that another provider share specific health information with the Student Health Center (such as immunization or treatment records). This is optional.

Acknowledgment of this statement must be signed by all students who wish to utilize medications prescribed and dispensed through the on-site limited use pharmacy. This only needs to be done once during your time at Washington and Lee. All students will be directed to this form through their Lindly Health Portal to be submitted electronically by July 1st.