Student Health Clinic

Health alert regarding COVID-19 (coronavirus):

The Student Health Clinic is moving to telehealth appointments only beginning Monday, March 23. The clinic will no longer provide face-to-face office visits, but will support students via telephone and Zoom telehealth visits. Students must call 319-273-2009 opt#1 to be assessed over the phone. Clinic staff will remain available 8-4:30 Monday through Friday.  

The Counseling Center will also provide mental health services via telehealth (through Zoom). Please call 319-273-2676 to schedule an appointment.

We are following guidance from state and local public health officials (and the CDC) regarding this outbreak.  Student Health is in direct communication with the health officials who are closely monitoring the situation in our community and state, and will implement any recommendations they might have for management of the outbreak.  For more information on this emerging health issue, see information from the Iowa Department of Public Health and the CDC.  

If you have traveled to/from an affected area in the last 14 days and feel sick with fever, cough or difficulty breathing, you should seek medical care right away. Before you go to a healthcare office, call ahead and tell them about your travel and your symptoms.

Students with any health-related concerns or questions, please contact the Student Health Clinic at (319)-273-2009 opt.#1. After hours care options are available on our website.

The most up-to-date information on coronavirus disease 2019 (COVID-19) from the university can be found at prepare.uni.edu.

 

 

Clinic Forms

Health Insurance Information Form

You may provide health insurance information to the Student Health Clinic prior to an appointment or if your insurance has changed.  Please complete the Insurance Information Form and return along with a copy of your insurance card (front and back). Students: If you are 18 or older, make sure you sign the form.

Mandatory Health Requirements

Immunization to measles, mumps, and rubella (MMR) is a requirement for all students who attend UNI.  To comply with this requirement, all students must provide records documenting proof of TWO measles, mumps, and rubella (MMR) vaccinations. Immunization dates must include month, day and year.  We also must collect information on the status of student's vaccinations against meningococcal disease.  Students can provide both the MMR and Meningitis vaccine on the Health Requirements Form.  A photocopy of your immunization record should be attached to the Health Requirement Immunization Verification form.

Informed Consent for Behavioral Health Services

Students may view the informed consent used for behavioral health services at the health clinic.  Click to view form Behavioral Health Informed Consent

Treatment of Minors

For students under 18 years of age, a parental or legal guardian authorization for medical treatment form must be on file in our office in order for you to receive prompt care and treatment should the need arise.  Please complete and return the Consent for Treatment of a Minor (PDF) form

Request Medical Records

To request a copy of your health record, please complete and return the Consent to Release or Receive Medical Information or Consent to Release or Receive Mental Health Information (PDF) form.  All information must be completed in order for your request to be processed.  

* Please allow 48-72 hours from receipt of the signed release form for your health information records to be processed.

All Clinic forms can be faxed to the Student Health Center at:  (319)273-7030.

Psychiatric Care Financial Assistance Form

Financial assistance may be available for your psychiatric care provided at the Student Health Clinic.  You can complete the financial assistance request form and return to the Student Health Clinic.

Accreditation

The Student Health Clinic is an AAAHC accredited facility. We participate in a voluntary site survey to measure the quality of our services and performance against nationally recognized standards of The Accreditation Association for Ambulatory Health Care.

Accredited by the Accreditation Association for Ambulatory Health Care, INC