University Health Services
Medical History & Physical Report
Students are required to return a completed medical history and physical report form prior to the start of classes. Students who have been accepted will receive an electronic copy of the form with their decision email. During the summer, students are only required to complete pages 1 and 4. Return forms to the following address:
University Health Services
100 Saint Liam Hall
Notre Dame, IN 46556
Health Insurance
All students are encouraged to have health insurance; however, it is only mandatory for graduate students and international students.
A student insurance program is available and is designed to supplement the services provided at University Health Services. Students who are covered by the University-sponsored student insurance program will automatically have their insurance claims filed. Otherwise, you will receive an itemized statement to submit to your private insurance carrier. Please be aware that all charges may not be covered. Rates are available below. The information listed below is based on Summer 2010 information. Summer 2012 information will be available in mid-February.
| Summer (5/15/10 - 8/14/10) | Rates |
|---|---|
| Student | 309.00 |
| Spouse | 774.00 |
| Each child | 465.00 |
| All children | 604.00 |
| Family (Spouse and Children) | 1,378.00 |
University Health Services - Contact Information
University Health Services
100 Saint Liam Hall
Notre Dame, IN 46556574-631-7497
574-631-6047 (FAX)http://uhs.nd.edu/
The information listed below is ba