Policies & Forms

I need more information about:

Medical History and Immunization Records
Submitting my Medical History and Immunization Records
International Student Health Insurance
Student Health Insurance
Release of Medical Information
Voluntary Medical Leave of Absence

Medical History and Immunization Records

All full-time students must complete and return a medical history form to the Student Health Center. Submitting this form before the start of the semester is incredibly important.

Any student born after 1956 is required to provide documentation of receiving 2 measles, mumps, and rubella shots (2 MMR's), OR provide documentation of blood (lab) results for measles, mumps and rubella.
Signatures of medical providers or photocopies of medical records are required.
The TB questions on the health form MUST be answered. If you answer NO, nothing further is needed.
The meningitis vaccine is highly suggested for new students living in the dorm setting. The state of Iowa requires a signature of waiver if you decline the vaccine.

Students who have not satisfied the above requirements will not be permitted to register for the following semester’s classes.

Download the Medical History Form (pdf)

Submitting the Medical History Form

Please send the completed health form, immunization documents, and a copy of your insurance card directly to the Student Health Center prior to the start of the semester by mail or email.

By Mail:
Drake University Student Health Center
3116 Carpenter Ave., Des Moines, IA 50311

By Email: studenthealthcenter@drake.edu

International Student Health Insurance

International students will automatically be enrolled into the Drake-offered Student Health Insurance Plan.

The monthly premium rate is $104.00 which will be charged the student’s account. The plan also allows international students to enroll a spouse and/or dependent(s).

For more information about Drake International Student Health Insurance, visit the Admitted Students page for International Students. Health Insurance information can be found under the Personal Welfare category.

Student Health Insurance

It’s recommended students have their insurance card on them and understand what their coverage entails.

Parents or students in need of health insurance should explore other options by visiting www.healthcare.gov. Parents can also elect to keep their child on their current plan if they prefer.

Release of Medical Information

For cases where the American Republic Student Health Center (ARSHC) needs medical records, or if another medical facility should request medical records from the ARSHC, the student will need to complete the “Authorization for Release of Medical Information” form.

This form specifies who’s releasing the information and where the student would like the information to be sent. All substance abuse, mental health, and HIV-related information need to be specifically authorized for release of information.