Health Forms

Health Forms
(All forms .pdf)
Return all Forms no later than 8/1/2014 to:

Student Health Services
ATTN: Mary Mathiasen
Waldorf College
106 S. 6th St.
Forest City, Iowa 50436
For more information contact Mary Mathiasen at 641-585-8157.

All Freshmen and Transfer Students

A Welcome Letter from Nurse Mary

Meningococcal Document

Immunization Form

Medical History and Physical

Insurance Form

All Freshmen and Transfer Students Participating in Athletics

A Welcome Letter from Nurse Mary

Meningococcal Document

Immunization Form

Medical History and Physical

Insurance Form

Concussion Agreement

Student-Athlete Waiver 

Drug Testing Policy (Read Only) 

Drug Testing Authorization to Release Information

Drug Testing Consent

Drug Testing Receipt Acknowledgement

All Returning Athletes Must Complete These Forms Each Year

Medical History and Physical

Insurance Form

Concussion Agreement

Student-Athlete Waiver 

Drug Testing Policy (Read Only) 

Drug Testing Authorization to Release Information

Drug Testing Consent

Drug Testing Receipt Acknowledgement

Insurance

Medical Insurance Information

Insurance Form

Secondary Insurance

Authorization to Disclose Form

If you need to have your health care information disclosed to another party, please print and fill out the Authorization to Disclose Health Care Information Form below.

Authorization to Disclose Form

Immunization Waiver

If your medical records have been lost, destroyed, or are unobtainable OR you are exempt from immunization on medical or religious grounds, please print out and complete the Immunization Waiver below.

Immunization Waiver