Health Requirements and Forms

Student Health Forms

This form is required for all Freshman, Transfer or Re-admitting students. Athletes will complete and submit through Sportsware. See below. 

Note: Form must be downloaded onto your device first, then opened with a PDF Reader (i.e. Foxit or Adobe). MacOS users, preview will not work properly for this pdf file. Once complete, upload the file with the link below.


Upload Completed Forms and Files Here

Required Athletic Forms

Athletic forms are to be completed electronically on Sportsware

Required Health Insurance

All full-time students (12 credit hours or more) and/or students residing on campus are required to have health insurance. If you have health insurance coverage and do not wish to be enrolled in the policy offered by BVU, complete the waiver statement found below. Provide a copy of your insurance card, including the subscriber's name and date of birth, to Health Services with your Student Health Form. For any inquiries regarding the Student Health Insurance Plan offered by Buena Vista University, please contact the Business Office at 712.749.2041 or BusOffice@bvu.edu or Health Services (see contact info below).

Complete BVU Waiver Statement
This waiver statement is required by all students at Buena Vista University every year. This statement indicates that you have your own health insurance and DO NOT want to be automatically enrolled in the Student Health Insurance Plan offered by Buena Vista University. 

 

Review this checklist before submitting:

STUDENT HEALTH FORM  (completed)

All subjective information is completed on front page including:

  • Drug Allergies
  • Environmental/Food Allergies
  • Current medications
  • Current supplements or Ergogenic Aids
  • Phone numbers including cell phone numbers
  • Emergency contact information
  • Insurance coverage status: choose option, provide subscriber's name and date of birth, and submit copy of front and back of card(s)
  • Family history
  • Personal history

Immunizations:

     Required immunization dates provided

  1. Measles/Mumps/Rubella (MMR)
    • 2 doses required
  2. Tetanus/Diphtheria
    • Booster within the past 10 years
    • Primary series-date completed
  3. Polio (OPV)
    • Primary series-date completed
  4. Meningococcal 
    • One dose required
  5. Tuberculosis (TB) Screening Assessment 
    • Tuberculin Skin Test required if answer "yes" to any screening questions

     Recommended but not required:

  1. Hepatitis B- series of three
  2. Hepatitis A - series of two
  3. HPV (Human Papillomavirus) - series of three
  4. Varicella- series of two (if no history of chicken pox disease)
  5. Meningococcal B- series of two

*Students wishing to file an exemption to any or all of the required immunizations must obtain medical exemption from a health care provider. 

Emergency Treatment Consent, Signed and dated (located at the bottom of the form)

 

Upload Completed Forms and Files Here

Deadline:

  • August 1st for first semester
  • January 5th for Interim
  • January 20th for second semester

Buena Vista University
610 West Fourth Street
Forum Box 2025
Storm Lake, Iowa 50588
Tel: 712.749.1238
Fax: 712.749.1467
healthservices@bvu.edu

  • Forms must be received before you are allowed to finish the validation process
  • Failure to comply with deadline will result in an academic hold on your account until required forms are received.