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Medical History Form


All new students are required to complete a medical health form. Briar Cliff University health services requests this confidential information for the purpose of providing patient care. Persons outside BCU Health Services are not routinely provided this information without the patient’s knowledge and consent.

FOR STUDENT ATHLETES:

All student athletes are required to complete a medical health form and physical by August 1.

Athletic Health Form

 

FOR NON-ATHLETES:

For all other students (non-athletes), fill out the standard medical history form by August 25.

Standard Health Form

HEALTH OFFICE DETAILS

LOCATION:
Alverno Hall, Room G4

PHONE: (712) 279-5436

FAX: (712) 279-5426

CLINIC HOURS:
Monday: 8 a.m. — 2 p.m.
Tuesday: 8 a.m. — 1 p.m.
Wednesday: 10 a.m. —  2 p.m.
Thursday: 8 a.m. — 1 p.m.
Friday: 8 a.m. — 1 p.m.
(closed weekends and holidays)

COUNSELOR HOURS:
Weekdays, 8 a.m. — 4:30 p.m. 
(after hours by appointment)