Health Profile Form

Although completing this form is optional, it helps physicians know which immunizations you have taken in order to treat you if you go to the doctor or hospital during your time in the U.S.

• Obtain a list with the details of all your previous immunizations from medical professionals in your home country. Use this list to complete the Health Profile form (in English) and keep it with you in case the information is needed at a later date.
• Students are required to have a tuberculosis (TB) test once they arrive to the U.S. All students will visit the Campus Clinic during the 'Check-In' event on the first day of International Student Orientation for the mandatory TB Test.
• Meningitis vaccination is required for those living in on-campus housing. You may get this vaccination before you arrive to the University and send documentation to the Office of Residence Life (housing): orl@semo.edu or bring documentation with you to show during the 'Check-In' event.
  • NOTE: If you do not have documentation of having received a meningitis vaccination when you arrive to the 'Check-In' event, you will be required to get the vaccination at the Campus Clinic when you have the mandatory TB Test.
• Mumps, Measles, Rubella (MMR) vaccination is highly recommended for all students. You may get this vaccination before you arrive to the U.S. and bring documentation with you to present during the 'Check-In' event. You may opt in to receive the MMR vaccination while at the Campus Clinic for the TB Test on the first day of International Student Orientation.

Confidential Health Forms

These forms help our Campus Clinic give appropriate medical treatment and advice when a student visits. We ask that you have them completed by a physician in your place of residence before you come to the United States. You do not need to submit the forms, but please have them available for your records. Completing these forms are optional, not mandatory. If you do not find them in your acceptance packet, you may print them from our website below. Please note that the full list of immunizations is not required; however, your US doctor(s) will need to know which immunizations you have taken in order to assess illness correctly.

Health History Questionnaire

International Student Health Insurance Plan

SEMO partners with Lewermark to provide international students with a comprehensive, affordable health insurance plan to make sure our students have the necessary coverage to maintain their health and be protected from financial loss in the event of a sickness or accident.  International students enrolled at SEMO’s Main Campus are automatically enrolled in the plan for the following periods: 

• Fall semester: August 15 – January 14 
• Spring/Summer semesters: January 15 – August 15 
• Students who arrive in the middle of a term or at the beginning of summer are enrolled for the current term at a prorated amount.    

Additional information about the insurance plan is as follows: 

• The insurance plan is required except for students on governmentally sponsored programs (e.g., SACM scholarship recipients) and students on approved exchange programs from partner universities abroad. 
• The deadline to submit proof of coverage for waiver eligible students is within 30 calendar days of the start of classes.  If proof is not submitted prior to the deadline, the student will be charged for insurance coverage for the entire term. 
• SACM students must submit a current Financial Guarantee to Student Financial Services (SFS) office before the waiver deadline in to have their SEMO insurance plan waived.  If an up-to-date Financial Guarantee is not on file with SFS by the deadline, they will be charged for the insurance for the entire term. 
• For non-SACM students to be waived from insurance coverage, eligible students must present proof of coverage for the entire semester and a plan that meets the minimum standards:  

Enrollment Details 

• All SEMO students are enrolled automatically in the insurance plan at the beginning of each new term.  However, the insurance charge may not show up on the student’s account until the end of September in the Fall term or February in the Spring term. 
• The Lewermark webpage has complete details of the insurance plan.
• To obtain your ID card, log in to the Lewermark website. Click on “Student Login” on the top right of the page. Your “Student ID Number” for Lewermark is the same as your SEMO ID, except you change the S in your SEMO ID to 0 (zero). For example, if your SEMO ID is S02022111, your Lewermark ID is 002022111. The first time you log in, your default password is your birthday in the MMDDYYYY format. For example, if your birthday is December 25, 2000, your default password is 12252000.   
• You are advised to download your ID card as soon as possible so that you have it in case of emergency. 

OPT students 

• SEMO graduates on OPT are eligible to continue their coverage as long as they are in active F1 OPT status, and they have been constantly enrolled in Lewermark coverage. Once you decline the coverage for a term, you will be ineligible to re-enroll at a later date. 
• OPT students who wish to continue their coverage will enroll in and pay for the plan directly in the LewerMark portal. This process will no longer go through SEMO or IES.  
• NOTES:
  • When purchasing OPT insurance from the Lewermark portal, select “F1” as your visa type

  • Your LewerMark ID is the same as your SEMO ID, except change the “S” at the beginning of your ID to “0” (zero).  For example, if your SEMO ID is S02111111, your LewerMark ID is 002011111.