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All first-year and transfer students are required to complete a Student Health Questionnaire and submit the Physician Examination form by August 1.

This Physician Examination form should be filled out by the student’s primary medical¬†provider within the last year. This form is used by Health Services to monitor what types of health conditions are present on campus and for individual health advice. It is not shared with others, except in cases of emergency.

  1. Student Health Questionnaire
  2. Physician Examination form

Submit All Forms
Upload: Physician Examination form
Fax: 715-682-1860
Mail: Northland College Health Services, 1411 Ellis Avenue, Ashland, WI 54806