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Health Form

The Health Center provides services to all full-time students for routine health care needs and illnesses. A completed health form is required to be on file two weeks after classes start in the fall. You may download the health form by following this link. Documented immunizations that are required are 2 MMR (Measles, Mumps and Rubella) vaccines; and one meningitis vaccine received within the past five years (or you may sign the meningitis waiver on the health form). We recommend that you and your family complete the forms early. Please do not turn in health forms unless all immunizations requirements are complete. You may bring completed health forms with you to your orientation session and turn them in at the Health Center booth during the Services & Resources Fair on Day One. Another option is to send them in prior to August to: American Republic Student Health Center, 3116 Carpenter Avenue, Des Moines, IA 50311 or Fax to 515-271-1855 or email to

If you have questions, you may contact the Health Center at 1-800-44-DRAKE x3731 or 515/271-3731. 

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