Health Information and Forms for First-year and Transfer Students

The staff of Parton Center for Health and Wellness joins in welcoming you to Middlebury College! Parton offers integrated care for students through our Health Service, Counseling, and Sports Medicine departments.  You can learn about our services and available resources using the links on the left side of our web pages, and through many other available links throughout the site.

As you prepare for the 2015-2016 academic year, we want to fill you in on a few important Middlebury College health requirements.  Please share and discuss this information with your parents or guardians and your health care provider prior to arriving on campus. 

Please read all of the information provided to help guide you through the process. Information and forms are available via the links below. 

Student Health Form

Middlebury College requires a completed Student Health Form.

The 2015-2016 Middlebury College Student Health Form is due by July 1, 2015 for September matriculation and November 1, 2015 for February 2016 matriculation.

To download and print your Student Health Form click here: 2015-16 Student Health Form

Schedule an appointment with your physician today to complete the Entrance History and Physical Exam, TB screening and Immunization Record.

Before your doctor appointment, complete the Personal Health History and Emergency Notification pages on the Student Health Form.

If you have a significant medical or mental health history, send copies of:

  • Major test results and consultant reports (i.e. echocardiograms, MRIs, psychiatric evaluations)
  • Surgical reports
  • Treatment plans (including Asthma Action Plan, psychiatric treatment plan, relapse action plan)

If you choose not to be immunized based on medical, philosophic or religious reasons you must complete the Immunization Exemption Form and submit it to Health Services: Immunization Exemption Form

Mail In Your Forms

When all the paperwork is complete, your physical is done and your health care provider has signed everything, MAKE A COPY FOR YOUR RECORDS and then return it all together prior to the July 1st deadline to:

Parton Center for Health and Wellness
First Floor
14 Old Chapel Road
Middlebury College
Middlebury, VT 05753

Health Insurance

Middlebury College requires that all students have health insurance at least equivalent to the student health insurance plan available to Middlebury students. To learn about this plan, go to:

Review your health insurance benefits with your parent or guardian. Save yourself and your parents the surprise of uncovered medical costs by being familiar with your insurance coverage.

If you are covered by private health insurance, copy both sides of your insurance card and enclose it with your completed Student Health Form.

Intercollegiate Athletes, Club Rugby and Club Crew

IMPORTANT NOTICE: Intercollegiate athletes, club rugby and club crew team members must comply with NCAA and Department of Sports Medicine requirements.  These requirements are in addition to the general Middlebury College Student Health Form

Those requirements can be found here: Instructions for Intercollegiate Athletes, Club Rugby and Club Crew Participants




Health Services
Centeno House
1st & 2nd Floor
Phone: 802.443.5135
Fax: 802.443.2066

Centeno House
3rd Floor
Phone: 802.443.5141
Fax: 802.443.3407

Sports Medicine
Field House
Phone: 802-443-2315
Fax:  802-443-2094