Forms and Resources
Forms and Resources
Contact
studenthealth@rit.edu
585-475-2255
EMERGENCY
If there is a medical emergency, call Public Safety 585-475-3333 or text 585-205-8333.
Electronic Health Forms
All students are required to submit required health information electronically via the RIT Wellness Portal. The forms below are available to Students with an RIT Computer Account and can be accessed under the “My Forms” tab of the RIT Wellness Portal.
After submitting the online Immunization Form, you will receive a Physician Verification form to your RIT email account. This form must be signed by your physician. Your registration is not complete until this form is received and approved by the Student Health Center staff.
The Health History Form provides the Student Health Center a detailed history of your past physical and emotional health and allows us to personalize your health care.
The Tuberculosis Screening Form helps the Student Health Center to assess your risk for tuberculosis and determine if additional testing is needed. If additional testing is needed, the student will receive another form to complete.
All students are expected to carry health insurance through family coverage, a personal policy, or through the RIT sponsored plan. The plan must provide coverage while the student resides in Rochester, N.Y. If you will be enrolling in the RIT sponsored plan, please enter “RIT Plan” in the Medical Insurance Company textbox.
Additional Forms
The following forms are not available electronically on the RIT Wellness Portal. If needed, you can fill out the necessary forms and upload them to the RIT Wellness Portal under the ‘Document Upload’ tab, unless stated otherwise.
- Authorization for Release of Protected Health Information (PHI)
- Request for Religious Exemption to Immunization
- Advance Directives
To register and request the Wegmans prescription medication delivery service, complete the following forms and bring to the Student Health Center on campus or directly to a Wegmans Pharmacy location.