Mandatory Health Forms

Required health forms for all students

Non-Athlete New Student Medical Admission Requirements

  1. All new, transfer or readmit students need to print and complete the 4 page student health/immunization form (A) and return it prior to or when registering for classes.
  2. In addition to the student health/immunization form submit a copy of the front and back of your insurance card. Insurance is required for all full time students.

Athlete New Student Medical Admission Requirements

  1. All new, transfer or readmit students need to print and complete the 4 page student health/immunization form (A)and return it prior to or when registering for classes.
  2. All incoming athletes must have a physical exam done no longer than 6 months prior to their required fall camp date or the start of classes, whichever comes first. Please print the physical evaluation form (B) and have your doctor, physician assistant, or certified nurse practitioner complete the physical exam form. NO PHYSICALS COMPLETED BY A CHIROPRACTOR WILL BE ACCEPTED. Physicals must be on file 1 week before reporting for practice.
  3. Submit a copy of the front and back of your insurance card. DWU requires all student athletes to carry private insurance that is payable in South Dakota. Please check with your insurance carrier to confirm your coverage.

Returning Student Athlete – Junior Physical Form

  1. Student athletes need an updated physical every other year. Please print the physical evaluation form (B) and have your doctor, physician assistant, or certified nurse practitioner complete the physical exam form. NO PHYSICALS COMPLETED BY A CHIROPRACTOR WILL BE ACCEPTED. Physicals must be on file 1 week before reporting for practice.
  2. Submit a copy of the front and back of your insurance card. DWU requires all student athletes to carry private insurance that is payable in South Dakota. Please check with your insurance carrier to confirm your coverage.

(A) Student Health/Immunization Form

Get the form

(B) Physical Evaluation Form

Get the form

Send this information to the following address:
Donna Gerlach, RN
1200 West University Ave., Box 926
Mitchell, SD 57301
(605) 995-2957
dogerlac@dwu.edu