Medical Forms for Registration

Medical Forms

Prior to registration, new students must submit a confidential medical history report. You will receive a medical packet in the mail. Follow the instructions for returning your completed form to NWU.

Immunization records must be complete and returned prior to registration. This is a university requirement mandated by the State Department of Health and must by submitted to Student Health Services by all new, readmitted and transfer students. Proof of Immune titer or two properly administered immunizations for MMR (measles, mumps, rubella) must be indicated along with mandatory meningitis vaccination. Other immunizations are recommended.

Students who fail to provide the required immunization document during the first semester following admission to Nebraska Wesleyan University will be refused registration for the following semester unless a waiver form is signed.

Meningitis and Measles Information
NWU’s Student Health Services has compiled useful information regarding Meningitis and Measles.

Student Health Insurance Information
You can read more about health insurance here.

Contact or visit us

Nancy Newman, B.S., R.N.C., Director
First floor Burt Hall North
(402) 465-2375
njn [at]

Kim McLaughlin, R.N., Assistant Director
First floor Burt Hall North
(402) 465-2377
kam [at]

Registered Nurse Hours:
Monday – Friday
8 a.m. – noon
1 – 5 p.m.

Provider Hours:
Monday, Wednesday and Friday
9:30 – 11:15 a.m.
Tuesday and Thursday
2 – 4:15 p.m.

Counselor Hours:
Monday – Friday
By appointment
Call 402.465.2464