Welcome to Drake University from the American Republic Student Health Center. Enclosed is the Medical History and Immunization Record required for full time students at Drake University. We encourage you to either bring the forms to orientation and give to health center staff, or mail them to the Student Health Center. If you were a Drake student in the past, please call the Student Health Center before completing this form. Students not completing the Immunization Record and Medical History will be placed on HOLD status after the 2nd week of classes. (Withholding grades and inability to register for the following semester).
Medical History Form:
The majority of services are provided at no charge, call to inquire about costs for specific services. Immunizations are offered for a fee. Laboratory tests that are not performed at the Health Center are sent to Iowa Methodist Hospital laboratory and are to be paid by the student. The Health Center does not submit fees for insurance billing/reimbursement.
Students do not have to provide insurance information in order to be seen at the Health Center. Since most students are “out of area” on their insurance plans, it is helpful to know what coverage you have in Des Moines. It is important to have a copy of your insurance card in case you need to see a specialist or in the event of an emergency. It is also important to know the prescription coverage provided by your insurance while you are in Des Moines.
If you are 18 years of age or older, you are considered an adult and your health information is confidential. The Student Health Center personnel is unable to give out information concerning your health to anyone, including your parents, without your written permission.
Services at the Student Health Center are available for full- time students only by appointment. The American Republic Student Health Center is located at the corner of 32nd and Carpenter.
Please feel free to call if you have questions, 515-271-3731