Student Health Forms
Please fill out the Student Health Form completely to provide your health history. Be sure to include your immunization record.
Completed forms and Immunization records can be scanned and emailed, faxed, or hand delivered upon your arrival to campus.
All International Students are required to purchase medical insurance coverage to defray the costs of health care while studying in the United States (MK and TCK students are typically covered through a policy provided by their parents’ employer). Health care costs can be exorbitant. The health insurance not only minimizes the financial impact, but also helps ensure quality care.
The following companies offer international student health insurance plans at affordable prices. Most insurance carriers have various levels of coverage, ranging in price from $35–$100 per month. Students purchase health insurance coverage directly from their company of choice. The health insurance coverage assist with expenses both at University Medical Services (UMS) and doctors and facilities in the region providing health care services.
Students will be required to show proof of medical insurance coverage when submitting health forms to University Medical Services, the health clinic on campus.
In the event of an emergency involving the student, it is crucial that Cedarville University has a FERPA waiver on file to allow a designated University representative to speak with the parents or guardians.
It is highly recommended that the parents or guardians encourage the student to complete a FERPA waiver giving International Student Services permission to speak to the student in the event of emergency or an issue that needs to be addressed.
What is FERPA?
Students who are 18 years of age and older have legal status as an adult and their rights and information are protected. The Family Educational Rights and Privacy Act (FERPA) prevents Cedarville employees, both faculty and staff, from speaking with family members (parents, guardians, etc.) in detail regarding a student’s academic performance or well-being.
Cedarville’s Policy is as follows:
No personally identifiable information should be released without written authorization from the student each time that the information is needed. Written authorization should consist of the date, the person receiving the information, what records are to be released, and the student's signature.
Waiver of Privacy
A FERPA privacy waiver is a document the student signs giving specific people (such as a professor or adviser) the right to speak to other specific people (a parent or other) regarding academic, financial, and/or health-related information. In such cases, the student must provide the Office of the Registrar with written authorization, which includes the student's signature and names the specific individuals, granting them permission to release information to parents or other specifically named individuals for specific purposes within limited periods of time. Details concerning the process for waiving privacy can be obtained from the Office of the Registrar, upon request.
More information about the FERPA waiver and Cedarville's FERPA policy can be found on Cedarville's FERPA webpage.
Consent for Treatment
If a medical emergency arises while the student is at school, a designated caregiver must be able to make decisions for the student on behalf of the parent or guardian. Medical care personnel responding to the emergency must be assured that the caregiver has the authority to act for the student and on behalf of the parent or guardian.
All international, MK and TCK students are required to complete and submit this form.