Health History Form
Now available to be completed online! Choose a link below to complete your form.
Social: Develop meaningful connections with family, friends, and community through building and maintaining healthy relationships.
Emotional: Cultivate a caring environment for yourself and others by developing awareness, acceptance, and healthy expression of emotion.
Environmental: Interact with nature, create environments that enhance your health, and take action to protect the earth.
Spiritual: Engage in activities that help you discover purpose and meaning in life.
Intellectual: Challenge yourself intellectually to help drive your success in school, work, and life. Be a lifelong learner.
Occupational: Impact your life satisfaction by choosing a career path that meets your needs and brings you joy.
Financial: Have a healthy relationship with money, living within your means and learning to manage your finances for the short and long term.
Physical: Take care of your body by staying active and practicing preventive health measures.
Hours & Contact Info
Wellness Center
Hours: 8am - 5pm, Monday through Friday
Phone: 660.562.1348
Fax: 660.562.1585
Note: The Wellness Center is not open on weekends, and is also closed on all days that the University is closed (holidays, inclement weather, etc.).
Local and Emergency Contact Info
If you require medical attention outside of regular business hours, please contact your own healthcare provider, call 911, or go to the Mosaic Medical Center Emergency Department.
If you have a question about your condition after hours, the Community Health Line is available. Their registered nurses are available to answer questions and provide quality health information. This local service is free and confidential and is offered 24 hours a day, 7 days a week. Please call 1.800.455.2476 to access this service. THIS SERVICE IS ONLY ACCESSIBLE USING A LOCAL PHONE.
Emergency Phone Numbers
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University Police
660.562.1254
Mosaic Medical Center - Maryville
660.562.2600
Community Health Line
1.800.455.2476
Mosaic Behavioral Health - Maryville
660.562.4305 or
1.800.841.3866
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Sexual Assault Hotline
660.562.1972
Support Line For Students in Crisis
888.279.8188
National Suicide
Prevention Lifeline
800.273.8255
Emergencies
911
Mental Health Text Line
Text HOME to 741741
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Wellness Portal
The Wellness Portal will allow Northwest students to schedule a Clinic Appointment, Complete a Pre-Visit Questionnaire for both Clinic and Counseling appointments, or Send/Receive Secure Messages.
Login with your 'S' number and Email password to access any of these features:
Access Wellness Services Forms
Required Forms, to be completed by all students:
Helpful Forms and Documents:
How to Make an Appointment
To schedule a Clinic appointment with a Nurse, Nurse Practitioner, or Physician, you may:
- Call Wellness Services at 660.562.1348
- Login to the Wellness Portal to schedule an appointment online
To schedule a Counseling appointment with a mental health professional, please call Wellness Services at 660.562.1348.
Inclusive Excellence
Wellness Services is committed to supporting the health and wellness of each individual with appreciation and respect for the intersecting identities that make up our Northwest community. We celebrate the uniqueness of the individuals we serve and embrace the opportunity to provide quality, culturally competent care that reflects our common desire for individuals to feel respected, valued and welcomed.
Title IX and Equity
Diversity and Inclusion
(for domestic students)
