Requirements & Forms

Submitting Immunization Records to Student Health 

LOGOSThe University of Iowa Student Health is partnering with Med+Proctor to capture student immunization records. 


  • NOT a first year medical, nursing, dental, EMT, speech pathology, physical therapy, physician assistant, radiation science, or pharmacy student (actually starting the program- M-1, D-1, first semester pharmacy/nursing/PT... school)
  • NOT an international student

then we would like you to please use Med+Proctor to submit your immunizations.  If you have already submitted your records to us, you do not need to repeat this process.  If you haven't sent anything to us yet, please use Med+Proctor. Follow these instructions to create a Med+Proctor student account and upload your immunizations. You may get a direct invitation from Med+Proctor to create your account in the coming weeks.  

Please go to the Med+Proctor website to create your student account, where you can download the form you need.   

General students

Please include your name and birth date (and/or university ID number) on ALL forms/documents mailed/faxed to Student Health. PDF format is preferred for emailed forms.

You need Adobe Acrobat to download the forms. Visit the Adobe Acrobat Reader website to get your free reader.

Immunization Exemptions

Submit ONLY if you are requesting an exemption to the UI immunization requirement because of a medical condition or religious belief.  Students age 18 and older must complete and sign their own religious exemption form, including having it notarized.

Health Science students

For medical students doing clerkships/rotations:

International students

Minor students (under 18 years)

Health fee & insurance

Allergy patient information