Health Service

Student Health Report Form
All students are required to submit this student health report form and current immunization record as part of their admission process. This information will help us support student health needs during their time at Luther College. Download the form to complete and submit using Norse Hub. Complete instructions are included on the form.

• Student Health Report Form for International Students

Student athletes will be directed to complete additional forms distributed by the Athletic Training department; including an athletic physical. Athletic forms are to be submitted to Luther’s athlete portal (not Norse Hub). Questions should be directed to the Office of Student Engagement.

Tuberculosis (TB) Risk Assessment Form
Luther College recommends that students schedule a visit with a health care provider to discuss TB testing and for completion of the TB Risk Assessment Form.  This visit can be scheduled with your primary care provider or the Luther Clinic.

Students are required to provide immunization records.  Students can submit their complete record of immunization from their health care provider, health department or high school.  If you do not already have an immunization record, this blank form can be taken to your physician, health clinic or Luther Clinic to review and complete this requirement.

• Immunization Record
  This form can be completed by your health care provider or reviewed to confirm required vs. recommended vaccinations.

• Immunization Waiver Form
  This form is to be printed off and filled out by all students requesting immunization exemption. Please fill out the entire form as directed and return to the Office of Student Engagement.
• Religious Immunization Waiver Form
  This form needs to be printed and completed by student requesting an immunization exemption for religious reasons. The completed form should be returned to the Office of Student Engagement.

It is the responsibility of students/families to review their insurance plans before seeking care at the Luther Clinic. Doing so determines if services will be in or out of network for their plan.

If a student’s insurance plan denies the claim for services provided through the Luther Clinic as out of network, WinnMed will work with students on a discounted rate. Students/families who have additional questions after consulting with their health insurance provider may call WinnMed at 844-617-6990.

Luther College has partnered with Assured Partners in Decorah to provide support for any domestic students with questions about obtaining health insurance that works well with Winneshiek Medical Center (WinnMed). Assured Partners will help students consider options on the Affordable Care Act Marketplace, with Medicaid, and with private plans. Assured Partners may be reached by phone at 563-382-2981 or by email: Brian.Huinker@assuredpartners.com

Medicaid is a health insurance program based on income. In addition to meeting certain income levels, students need to meet specific eligibility requirements to receive Medicaid coverage. Please see the Iowa Medicaid website for eligibility.

International students are automatically enrolled in a health insurance plan; costs are billed to their student account.  Upon campus arrival, students will receive their insurance card.  The insurance card is needed when receiving health care services or to obtain prescribed medications at a local pharmacy.