Forms

  • Student Health Evaluation Form
    All incoming students need to have a college entrance physical and complete the Student Health Evaluation Form before beginning classes at Luther.
  • Release of Information
    This form authorizes Luther College to release a student's health records in the event that a he/she is referred to another physician, moves, or changes clinics.
  • Eiia Claim Form
  • This claim form is for Luther College students who carry the EIIA health  insurance plan. Please print, fill out, and send in as information is not saved on website.
  • 2013-2014 Student Health Brochure
    This is a student Health Service brochure giving information regarding services.