New Student Resources

Welcome to Seattle Pacific University! You are about to embark on an incredible life changing adventure. However, before beginning there are a few simple requirements to take care of with Health Services. Below you will find all you need. The following information is also provided in you Admissions Packet. Any questions please feel free to call us during business hours (206) 281-2231.

Downloadable Forms:
          Student Immunization Record (PDF)
          Medical History Record (PDF)
          Menningitis Vaccine Pre-Order Form (PDF)

Incoming Student Requirements:

Please note: Both the Medical History Record and Student Immunization Record must be complete and turned in to Health Services in order to register for classes. If you are missing just one part (i.e. a Tetanus shot in 10 years), you will have a Health History Hold until your file is complete.

Medical History Record
3-page self-report form, filled out and signed by the student. No need for doctor signature. We do ask for a copy of your insurance card, front and back, (if you have one).

Student Immunization Record

• Part One: Filled out by the student
• Part Two: Documentation of 2 MMRs and a Tetanus-Diphtheria in the last 10 years. International students must also have a current PPD completed in the U.S.
• Documentation can be provided in a number of ways:
  1. Your Health Care Provider can fill in the form;
  2. Copy of shot card or official documentation;
  3. Copy from high school (i.e. official transcripts or Certificate of Immunization);
  4. Copy of current college's form.
  5. If you do not have any of the above options, you may receive a blood test (Rubeola, Rubella, and Mumps Titers) to prove MMR immunity and update your Tetanus-Diphtheria.
• Part Three: Recommended immunizations.

    Note: Meningococcal (Menningitis) is recommended and available at 

    our clinic on a pre-order basis. Recommended immunizations are not

    required for students, but simply recommended by the CDC.

• Part Four: Travel Immunizations. Travel immunizations are not required. However, if you participate in a cross-cultural experience, you may need the documentation. Sometimes it is easier to ask a healthcare provider for all your immunizations at once, rather than in pieces during deadlines.

Insurance Information:

Domestic Student (American Citizens):

Optional SPU Insurance Plan available for registered students and their dependents. Brochures are available in Health Services and in Student Financial Services. Plan starts the first day of the quarter or the day of receipt of payment, if after the 10th day of the quarter. Please note: SPU only hands out the brochures, payment and application must go straight to Student Resources.

           Brochure 2009-10 (PDF)

           Enrollment Form 2009-10 (PDF)

           StudentResources Insurance Company

                           Use this link to either find out about the policy or reach the online enrollment form.  

                           You can type in "Seattle Pacific" in the find box. Select Seattle Pacific University. If

                           you wish to enroll on line, in the upper right corner there is a pink box for enrolling.

International Student:

           LewerMark Insurance Company

                           Use this link to either find out about the policy. All International students are

                           required to have medical insurance. You are automatically enrolled in LewerMark,

                           unless you have provided proof of comparable insurance to the Health Services

                           Director within 10 days of the start to the current quarter. You must renew your

                           medical insurance waiver each time the policy is renewed.
          

Student Financial Services Insurance Information Page