Student Health Clinic

 

STUDENT HEALTH & DENTAL INSURANCE FOR GRADUATING STUDENTS!

As a May Graduate of the University of Northern Iowa, your are eligible to enroll in health and/or dental insurance.  Coverage is available for up to 12 months starting June 1, 2018. For more information about cost and coverage, visit the UNI Student Health Clinic insurance page  To enroll in this insurance, print and complete the enrollment form and send to the UNI Student Health Clinic or fax to (319)273-7030.  Please direct questions to Connie Potter (319)273-7736.

 

 

 

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.

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)273-3155.

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.

Pharmacy Hours

Mon, Tues, Thurs, Fri 
8:00am to 4:30pm (closed for lunch 12:30-1:00pm)
Wed
9:00am to 4:30pm (closed for lunch 12:30-1:00pm)
 
Pharmacy Phone: (319) 273-2154

Pharmacy Fax: (319) 273-5101

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