Forms that cannot be submitted digitally must be faxed or mailed to the Weigel Health Center.
WEIGEL HEALTH CENTER
1300 Elmwood Ave.
Buffalo, NY 14222
Must be completed before scheduled annual/initial GYN exams, colposcopies, male STD testing, and physicals.
Record Release to Weigel [PDF]
To request that medical records, such as immunizations, be sent from another location to Weigel.
Record Release from Weigel [PDF]
To request that medical records, such as immunizations, be sent from Weigel to another location.
New Student Health Form [PDF]
Documentation of immunization records. Required for new students.
Meningitis Response Form [Link]
Students are not required to receive the meningococcal vaccine, but they are required to fill out this form.
Health Insurance Waiver [Link]
The deadline to waive out of the health insurance plan for Fall was September 30th and Spring is February 24th.
Distance Learner Health Fee Waiver Form [PDF]
Weigel Health Center Services and Activities are funded through the Student Health Fee of $138.50 per semester for full time students. This waiver is only for distance learners that have no classes or meetings on campus and do not live in WNY