REQUIRED FORM FOR ALL NEW STUDENTS (Freshman or transfer)
Prior to your first day of classes at UM, please complete your required INCOMING STUDENT MEDICAL FORM.
To login to the Incoming Student Medical Form, you will need to use your UM email address without the @forum.dickvsclit.com portion of the email address as the username. For the password, please use your UM email password. If you do not have a UM email address or password, please contact the Solution Center.
BEFORE YOUR APPOINTMENT
Please update your medical information by completing this form: PATIENT MEDICAL FORM UPDATE.
Appointments required, call 205-665-6275 to schedule. Avoid scheduling appointments during class time. Excuses for missed classes are NOT guaranteed and are issued at the discretion of the provider.
Student Health Services (SHS) is an on-campus clinic that provides direct, basic medical care to all undergraduate students. SHS also serves as a referral source for students needing care beyond that available on campus. Expenses incurred from care provided off campus are the responsibility of the student. These services are available to currently enrolled, degree-seeking students who also meet state legal and ethical limits of services as outlined by the Alabama Board of Medical Examiners. Services provided are covered by undergraduate tuition and fees. Graduate students and continuing students seeking services during the summer may elect to pay the semester fee to access services. For more information on student eligibility please click the link below:
Student Eligibility Information
- Diagnosis and treatment of minor illness & injury
- Select prescription and over-the-counter medications provided
- Select diagnostic testing available on campus
- TB skin testing if required by UM program for observation or internship
- Flu vaccination and HIV/STI clinics offered annually
- Referral source to off-campus medical specialists
Required Health Information for New Students residing in U.S.
ALL REQUIRED HEALTH INFORMATION MUST NOW BE SUBMITTED ONLINE.
The Incoming Student Medical Form must be completed online by the student and submitted along with proof of measles immunity uploaded and attached to the form. All required health information is due before the first day of class.
For most students, proof of measles immunity will be a copy of the immunization record indicating two separate dates of MMR (measles, mumps, rubella) vaccination. This document can be obtained from the student’s previous school attended, the physician’s office which administered the vaccinations as a child, or the county health department in which the student grew up. If this record is unavailable, proof of measles immunity can be acquired through blood testing (rubeola titer) at a physician’s office. If not immune, the MMR vaccination series must be completed. Even though Varicella (Chicken Pox), Tetanus, Hepatitis B and Meningitis vaccines are not required, they are strongly recommended.
The Incoming Student Medical Form includes a Tuberculosis Risk Questionnaire. A TB test is not required unless the student is determined to be at risk. If required, the student will be contacted by Health Services.
Please follow the link below and enter the student’s UM username and password to get started.
Required Health Information for International Students
- International Student Medical Form (PDF) signed by a physician.
- Tuberculosis (TB) Skin or Blood Test within 12 months of class start date.
- Proof of Measles Immunity – Copy of the immunization record indicating two separate dates of MMR (measles, mumps, rubella) vaccination. If this record is unavailable, proof of measles immunity can be acquired through blood testing (rubeola titer) at a physician’s office. If not immune, the MMR vaccination series must be completed.
- Proof of Health Insurance Policy that meets federal law requirements (refer to US Government document 22 CFR 62.14). The University of Montevallo offers a policy if needed. For more information on international student health insurance requirements please click the link below:
International Student Insurance Requirements
For suggestions of medications and supplies to bring if you will be residing on campus, or for tips to manage common illnesses or conditions you may encounter, see Taking Care of Yourself in College (PDF) in Forms.
