Student Health Forms

Required

•    Student Health Center Registration Form
  • Marian University requires incoming students, whether first time freshman, transfer or graduate program students, register with The Student Health Center and provide current health insurance information as well as immunization records.
  • You will need the following information to complete and submit your Student Health Center Registration Form successfully:  1)  Your Marian University Student ID number, located on your MU Student ID.  2)  Your active health insurance policy information.  You will be asked to provide your policy information, as well as upload images of the front and back of your card.
  • If you do not have active health insurance at the time of completing your Student Health Center Registration Form, please select "NO" when asked about health insurance within this form.
  • If you DO have active health insurance, please provide all information, as well as images.  Please keep in mind if information AND images are not provided, we will be unable to approve your Student Health Center Registration Form and your registration process will be delayed.
  • If you have questions or need guidance, please contact The Student Health Center at 317-955-6154, or email healthservices@marian.edu.  Your communication will be responded to at the earliest opportunity.
    

Optional

• Consent for Release of Confidential information
• Consent for Release of Medical Records and Immunization Records