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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

Office Details

Alverno Hall, Room G4
PHONE: (712) 279-5436
FAX: (712) 279-5426
Monday: 8 a.m. — 2 p.m.
Tuesday: 8 a.m. — 1 p.m.
Wednesday: 8 a.m. —  2 p.m.
Thursday: 8 a.m. — 1 p.m.
Friday: 8 a.m. — 1 p.m.
Weekends: Closed
(hours scheduled to change during J-Term, summer and holidays)
Weekdays, 8:30 a.m. - 4:30 p.m.
(after hours by appointment)

After hours?

Locate other health and counseling services in the community.

Upcoming Events

— Nothing scheduled —