
Lindley Health Forms
For help filling out any of these forms, contact Lindley Health at 540-458-8401 or studenthealth@wlu.edu.
Medical Consent for Treatment of Student Under Age 18
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 1.
Consent to Release Confidential Health Care Information
This form can be used to request that Lindley Health 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 Lindley Health (such as immunization or treatment records). This is optional.
Statement of Prescription Medication Rights
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 University. All students will be directed to this form through their Lindley Health Portal to be submitted electronically by July 1.