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Northwest Missouri State University

Health History Form

Prior to starting classes at Northwest and moving into your residence hall room, students must complete and return a Health History Form View PDF. The form should be returned to Wellness Services at least 30 days before classes begin.

In addition to completing a Health History Form, students must submit immunization records showing 2 doses of MMR vaccine, and the Meningococcal Vaccine. Per Missouri state law, no student will be allowed to move into the residence halls without Northwest receiving record of the Meningococcal vaccine.

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