Admitted Undergraduate
UNDERGRADUATE HEALTH REQUIREMENTS
HEALTH FORM AND TB QUESTIONNAIRE
DEADLINE* – JULY 1 for FALL/SUMMER SEMESTER
DEADLINE EXTENDED UNTIL AUGUST 1 FOR FALL 2020
DECEMBER 1 for SPRING SEMESTER
Complete requirement through your Admission Portal
*There is a $50 late fee for all late or incomplete health requirements
DEADLINE* – JULY 1 for FALL/SUMMER SEMESTER
DECEMBER 1 for SPRING SEMESTER
A copy of your vaccine record should be uploaded to your Admission Portal (under the Material Section “Immunization Record”). Check with your Admission Counselor if you have any questions.
*There is a $50 late fee for all late or incomplete health requirements
International Student Health Insurance Information
DEADLINE* – FIRST DAY OF CLASS
To waive-out or enroll in University-sponsored insurance:
UnitedHealthcare StudentResources Waiver Site
After the first day of class of the fall semester:
Email studenthealth.insurance@valpo.edu
*YOU WILL AUTOMATICALLY BE ENROLLED IF YOU DO NOT WAIVE-OUT
Required Forms for All New Athletes
DEADLINE – JULY 1
Your completed forms should be uploaded to your admission portal (under the Material Section “NCAA Physical Form”). Check with your Admission Counselor if you have any questions.
You will have additional instructions and on-line forms from your Athletic Trainer. You will not be able to participate in any form of practice or conditioning on campus until all forms are received.
Nate Twedt AT, Director of Sports Medicine
email: nate.twedt@valpo.edu

Contact Information
Valparaiso University Health Center
Promenade East Building
55 University Drive, Suite 102
Valparaiso, IN 46383
Phone: 219.464.5060
Insurance: 219.464.5400
Fax: 219.464.5410
**Please do not email if you need immediate assistance**
Call 219.464.5060 during business hours to schedule an appointment.