Health & Insurance Requirements


All students are required to have a completed health form on file at Shenandoah University’s Wilkins Wellness Center prior to registration if enrolled in 7 credit hours or more. Click here for the SU General Admission Health Form.  All student enrolled in general education MUST complete the health form and provide current insurance information.  In addition the student must provide the following:

    MMR 1 and 2 or titer
    Polio date or titer
    Tetanus & Diphteria (within the last 10 years)
    Meningitis date or waiver (waiver – page 4 of health form)
    Hepatitis B series or waiver (waiver – page 4 of health form)
    PPD/TBQ or assessment (page 5 of health form)
        if positive PPD student must have chest x-ray
     If a positive assessment, a chest x-ray is required.
     Physical – if living on campus or participating in sports

All students enrolled in Health Professions or School of Pharmacy must complete the SU Heath Professions and Pharmacy Student’s Health Form.  All student enrolled in Health Professions and Pharmacy (which includes programs in Nursing, Respiratory Care, Occupational Therapy, Music Therapy, Physical Therapy, Athletic Training, Physician Assistant and Pharmacy) MUST complete a health form and provide current insurance information by the online process listed below.  In additon to the student must povide the following:
    MMR 1 and 2 or titer
    Tetanus, Diphteria, & Pertusis (Tdap)
    Polio date or titer
    Varicella dates (must have 2) or if student had chicken-pox as a child then a Varicella titer to prove immunity (date of disease is not valid).
     Meningitis date or waiver
    Hepatitis B series or waiver
    Two step PPD with the second test and reading between 7-21 days from the first test and reading or annually for 2 consecutive years.
        if positive PPD student must have chest x-ray.


Online Waiver/Enroll Process – required

All students who are registered for 7 credit hours or more and are covered under a private insurance plan are required to register their insurance information online.   This is called a waiver of the student plan. Follow the instructions below.   If you want to purchase the student health plan, follow the instructions below. 

To waive or enroll in the Student health Insurance plan for the 2013-2014 policy year:

1. Log on to

2. Create a user account or Log in (if a returning student)

3. Click on “Student Waiver or Enroll”

4. Select with the RED “I want to Waive” button.  If waiving the insurance, you’ll need information found on your current health insurance ID card.  Upon completing your online form, you will be asked to review the information provided and click “submit” to complete the process.

5. To ENROLL in the plan click on the GREEN “I want to Enroll” and follow the prompts.  Immediaately upon submitting your Online Form you will receive a confirmation number.

Student health insurance is still the best option for college students.  Even though some states give subsidies, the difference in the deductible alone makes student insurance the most affordable option.  Medicaid programs only cover the student in their home state. 


International Students: International Student insurance plans, those purchased outside of the United States, must meet the guidelines of the Affordable Care Act 2010 regulations to be an accepted plan.  Please visit our insurance website at and create a user name and password. Click waive the student health insurance button and input your health insurance information into the website.  Gallagher Koster will audit the insurance to see if the policy meets the guidelines.  If the policy meets the guidelines, you are considred covered as long as your insurance is valid while enrolled at Shenandoah.  If your plan does not meet the guidelines, you will have to purchase a plan that does meet the requirements or enroll in the student health insurance policy approved by Shenandoah University.  Most travel insurance policies do not meet the guidelines.

Athletes: In addition to the University’s Health and Insurance Requirement form all athletes must complete the athletic form and submit to the athletic department along with a copy of the physical examination page. Click here for the Athletic Health Form.

Students living on campus, participating in sports, and all health profession students are required to have a physical examination by their primary care provider. Health Professions and Pharmacy students have additional immunization requirements that must be met prior to starting classes.

Commuter students, those not enrolled in a health program, or participating in a sport, are not required to have a physical examination, however they must complete the remaining portions of the health form.

Athletic Injury Information:

A completed claim form MUST be submitted within 90 days from tht date of injury. You can visit the website at:

Every full-time student who participates in Intercollegiate athletics is automatically enrolled in the Athletic Accident Plan. In the event of an accident, You must:

  1. Report the accident to your coach or athletic trainer immediately.
  2. File all charges with your primary insurance carrier first. If you are insured by an HMO/PPO, you must obtain pre-authorization for all services rendered or benefits will be reduced by 50%.
  3. If the other insurance does not pay the entire bill, secure a claim form and instructions from the Athletic Department, fill in information completely, have the attending Physician and supervising coach complete their portion of the form, attach all itemized medical and hospital bills and mail them to the claims administrator.

Summit America Insurance Services, LC
7400 College Blvd, Suite 120
Overland Park, KS 66210
Phone: (800) 926-3441
Fax: (913) 327-7520

Injuries on Shenandoah University Property:

All injuries, other than athletic injuries, while on Shenandoah University property must be reported to the Wilkins Wellness Center within 24 hours of the accident/injury.