Employee Health
Your immediate attention is required to the forms/information contained on the attached Health Forms. Prior to matriculation, each student must have a physical, must meet immunization requirements, and must submit a health history. Please return the forms by June 30, 2009.
° Instruction Sheet
° Demographic Data Sheet
° Health Evaluation Report
° Screening Evaluation Form
° Student Immunizations
Contact Information:
If you are unable to complete your health forms prior to June 30th, please contact the Employee Health Clinic to make alternate arrangements.
Employee Health Services
North Carolina Baptist Hospital
Medical Center Blvd.
Winston-Salem, N.C. 27199-2503
Ms. Janice Early, RN: 336-716-3644
Reception Desk: 336-716-4801
Fax Number: 336-716-6127
