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Northwest Missouri State University

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Before You Arrive...

University Wellness Center requires:

  1. Proof of two vaccinations for Measles (Rubeola) and one vaccination for Rubella. For most students, this will mean two doses of MMR vaccine, with the first administered at age 12 months or after and the second at least one month after the first. Copies of immunization records should be attached to the Health History Form.
  2. All students who will reside on campus must complete the Meningococcal Education Requirement before move in. The requirement may be completed by receiving the Meningococcal Immunization or by signature of student stating they have read the information about the availability and effectiveness of the vaccine, and have made the decision not to be immunized.
    Please see information under Meningococcal Meningitis below.
  3. All first-time foreign-born students and students who have lived outside the United States for 3 or more months in countries in which Tuberculosis is endemic MUST have documentation of a tuberculosis (Mantoux) skin test administered in the United States within the past year. NO EXEMPTIONS. Prior BCG treatment does not change the requirement. A chest x-ray will be required for anyone with a positive skin test.
  4. A HOLD will be placed on your enrollment/registration until you have returned the Health History/Immunization Form. If your personal or religious beliefs or specific medical conditions preclude immunizations, please complete the appropriate statement of exemption on the form provided in this packet. In the event of a disease outbreak, exempted students will be subject to exclusion from campus.

 

Health History Form

Please read, important information to follow.Prior to starting classes at Northwest, you will need to complete our Health History Form. A copy of the form was included in your acceptance materials, or you may also download the formView PDF.

Here's what you'll need to complete the health form:

 

Immunization and Disease Information

Measles, Mumps and Rubella (MMR)

Common childhood illnesses that, if experienced as an adult or during pregnancy, may have serious consequences. 

Tuberculosis

Tuberculosis is a bacterial disease that may be spread through the air from one person to another. This disease continues to be a problem in some foreign countries and the United States.

Tetanus-Diptheria

Boosters are recommended every 10 years and may be indicated more frequently for certain injuries.

Hepatitis B

Hepatitis B is a viral infection resulting in inflammation of the liver that may lead to the risk of later developing cancer of the liver and other complications. It is generally transmitted by contact with any body fluids from an infected person. A three-shot series is available, which should offer 10 years or more of immunity.

Meningococcal Meningitis

Meningitis is a contagious, potentially fatal infection of the membranes that surround the brain and the spinal cord. If not treated in time, it can lead to permanent complications. A single vaccination, which is highly recommended for freshmen, will offer approximately three to four years of protection against all but one of the bacterial serotypes that may cause this disease. The immunization is recommended by the Center for Disease Control and the American College Health Association.

Influenza

Influenza is a viral illness that may range from mild symptoms to high fevers, body aches and fatigue. Flu shots are recommended for all students and are available at the Wellness Center each fall at a reduced cost.