Required Health Forms

Return all forms no later than 7/15/2015 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
(if an athlete, complete the additional forms in section below)

Meningococcal Document (Read Only)

Immunization Form

Medical History and Physical

Insurance Form


All Student-Athletes
(Student-Athletes must complete the following prior to participation in athletics)

Medical History and Physical

Insurance Form 

Student-Athlete Waiver 

Drug Testing Policy (Read Only) 

Drug Testing Authorization to Release Information

Drug Testing Consent

Drug Testing Receipt Acknowledgement


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