Medical Forms

Health Records and Required Immunizations – All incoming students are required to provide a completed Health History form and Immunization Record.

In addition, all residential students, international students, and athletes are required will have additional forms to complete, which can be downloaded now.

Please mail the completed forms in advance of arrival for classes to: 
Student Life Office
University of Saint Mary
4100 South 4th Street
Leavenworth, KS 66048

The meningitis vaccination is a required immunization for students living on campus, according to Kansas State Law.

The other required immunizations for all students are
            ► A Tetanus-Diphtheria booster within the last 10 years
            ►2 doses of Measles-Mumps-Rubella vaccine
            ► APPD TB test within the last 12 months.

Other recommended vaccines are
            ► A primary series of Polio vaccine
            ► 3 doses of Hepatitis B vaccine
            ► And Varicella vaccine (if the student has not had
                 Chickenpox).

All athletes, residential, and international students are required to have primary health insurance.

Athletes will also be required to purchase the university’s athletic insurance.

Residential students will be enrolled in the Accident Insurance Policy carried by USM, unless they have proof of other insurance coverage.