Health Center Forms
We would like to take this opportunity to welcome you to University of Mount Union, and wish you academic success and good health during your college years.
To promote a healthy living environment on campus and to protect our campus community from vaccine preventable diseases, the University requires all students to have updated immunizations prior to their arrival on campus. Also, in the event of an emergency, it is important for us to have on file your emergency contact phone numbers, as well as your health history, medical conditions, allergies and medications. It is recommended that all students have a physical exam by their personal physician prior to the start of the school year however, a physical is mandatory for anyone who plans to participate in athletics at the University of Mount Union. Athletes will be receiving additional information soon regarding specific requirements applicable to them.
You will find the required forms below. Sources of information to complete the immunization page include: your health care provider, your high school, your local health department and your “baby shot record book."
Bring your completed forms with you when you attend your Preview session and give them to a nurse at the Resource Fair or place them in the box at the Information Desk. If you do not attend Preview, or if you cannot complete your records before your Preview session, mail them one month prior to your arrival on campus to: Health Center, University of Mount Union, 1972 Clark Ave. Alliance, Ohio 44601.
Summary of Mandatory Health Requirements Prior to Arrival on Campus
- Completion of personal information page
- Physical exam for any student who plans to participate in athletics at the University of Mount Union – An EKG is strongly recommended
- Tetanus-Diphtheria booster (or Tdap) in the past 10 years.
- MMR (Mumps, Measles, Rubella) two doses.
- The tuberculosis screening questionnaire (and TB testing if needed)
All immunizations are recommended to be up to date (when appropriate) to prevent illness and the spread of all vaccine preventable diseases. Discuss with your health care provider which vaccines he/she recommends for you. Refer to the following web pages for more information about immunizations: CDC or ACHA.
Services Provided by the Health Center
Health promotion, health protection, disease prevention and clinical care are some of the services the Health Center provides. The main purpose is to provide medical care for students who have a short-term illness or injury so they can remain in classes and function at their optimal level of wellness. Good health contributes to the productivity and success of students and helps them achieve their academic, social, athletic, career and personal goals.
The Student Accident and Sickness Reimbursement Plan
The Student Sickness and Accident Reimbursement Plan is a medical plan that is provided for all full time undergraduate students who pay full time traditional tuition. The enclosed brochure explains details of benefits and limitations and it also provides additional information about the Health Center. Students should sign the card and carry it with them. Read the brochure carefully since benefits and limitations vary. Although there are benefits to the Plan, it is recommended you remain on your family insurance plan. It is also recommended that if you are coming from outside the state of Ohio you check with your insurance to assure there is coverage. Athletes will receive a sports insurance brochure at a later date.
More information about the Health Center can be found in the University Catalogue, the Student Handbook, or log on to the Health Center link on the University of Mount Union website. Member: American College Health Association and Ohio College Health Association.
Best wishes for academic success and good health,
The University of Mount Union Health Center Staff