Student Requirements

Requirements Upon Admission to Butler University

1. Health Forms and Questionnaires

Students are required to submit the following documentation in English prior to beginning classes by August 1 for fall admission or January 1 for spring admission.

1. Physical exam:
   • The required physical is to be performed and signed by a medical provider.
   • The physical must have occurred within the last 12 months.
   • This can be submitted on the Physical Examination form or your doctor’s form.
   • You may have a physical completed at Butler Health Services once you are on campus if needed. Please call 317-940-9385 to schedule.
2. Immunization Records:
   • The immunization records must be on official medical office letterhead or state immunization registry stationary.
     • Records that are pulled from within an individual’s private health portal will be accepted only if their name and date of birth are clearly visible.
   • See the back of the Physical Examination form for details.
   • This can be submitted to healthservices@butler.edu or  faxed  to 317-940-6403.
3. Online forms and questionnaires on My Health Web Portal:
   • Once you have your Butler ID, sign in to the My Health Web Portal (myhealth.butler.edu)
   • Click on “Forms” on the left side menu and complete the:
     • Health History Form
     • Tuberculosis Screening
     • TeleMedicine Consent

Records are reviewed for immunization compliance, medications, allergies, chronic diseases, or medical conditions that might require special attention while you are a student at Butler University.

If you have a medical condition that has special requirements or accommodation needs please contact Student Disability Services for additional support. 

Our records are only shared with your permission.

2. Proof of Health Insurance is an Annual Requirement

It is a policy of the University to require that students possess health insurance while attending Butler University.  On an annual basis, students can “Waive Coverage”  or “Opt-In” to the University-sponsored United Healthcare Plan by visiting  this webpage and following the instructions.

Visit Student Health Insurance for more information.

Undergraduate and graduate status is defined below:

• • Full-time, degree-seeking undergraduates
  • Graduate students with 6 credits or more
  • International undergraduates must enroll in the University-sponsored plan (with the exception of ISEP participants)
  • International graduate students are eligible to enroll in the University sponsored plan

 Students who take no action by the August billing date will be automatically enrolled in and billed for the University-sponsored plan. 

Due to FERPA/HIPAA regulations, all communication regarding the student’s health information must be with the student.

Incomplete Requirements

If Health Services does not receive the information, if the information is incomplete, or immunizations are required, a hold will be placed on a student’s account after August 1 and you will not be able to complete registration for the following semester until requirements are met.

Medical and Religious Exemptions

Exemption requests can be submitted for approval by our team.  Medical requests must be completed and signed by a medical provider and will be reviewed by Dr. Fletcher, while religious requests will be reviewed by our director.  Please contact Health Services at 317-940-9385 or send questions to healthservices@butler.edu.