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Health Form

Last updated January 19, 2018

Who is Eligible for Services?

All full-time students (those taking 9 or more semester hours and paying the health fee) must complete the STUDENT HEALTH FORM including the IMMUNIZATION RECORD.

Completing this form also allows the student to receive services in the Morningside College Student Health Center, located in the lower level of Olsen Student Center.  To avoid a delay when registering for classes or at doctor's hours, stop in or call to check if your records are complete. (The office number is 712-274-5178.)

  • Please print this form and have your HEALTH CARE PROVIDER sign it before mailing it. Acceptable signatures include your School Nurse, Registered Nurse, Physician, ARNP or PA-C.            

Download Here - Health Form

Tips for finding your immunization records can be found here: http://www.immunize.org/catg.d/p3065.pdf

Medical/health history forms are also available through the Student Health Department, lower level, Olsen Student Center.

Contact Information

For questions regarding the medical health history form, contact Carol Garvey at (712) 274-5178.

REMINDER: Print out the form and MAIL it to: MORNINGSIDE COLLEGE STUDENT HEALTH, 1501 MORNINGSIDE AVE, SIOUX CITY, IA 51106