Medical Forms and Resources

Health Record Form

Required for all students. Please fill out the form at your be.LCU.edu profile.

TB Form

This form is ONLY required for students who answered YES to one or more of the TB Screening Questions on the Health Record Form (see link above).

This would include those who are from countries with high prevalence of tuberculosis (TB).  Please review https://tbfacts.org/tb-statistics/ for an up-to-date list of these countries.

If this applies to you, please print this form and take it to your primary health care provider or your local health department for further assessment. This should take place no sooner than 6 months prior to beginning attendance at LCU. The form should be filled out & signed/dated by a licensed health professional, and then submitted to your admissions advisor.

For any questions regarding either of these forms, please call or email the LCU Admissions Office at 806.720.7151 or admissions@LCU.edu, or the Student Health Office at 806.720.7482 or healthforms@LCU.edu.

Please retain a copy of these forms for your records.

The forms may be submitted by:

• Mail:

  • LCU Student Health Office
    5601 19th Street
    Lubbock, TX 79407

• Fax: 806.720.7483
• Scan & email: HealthForms@LCU.edu

Local Pharmacies

CVS Pharmacy

• Location: 3801 19th Street
• Phone: 806.796.2315

United Supermarkets Pharmacies

• Location: 401 Slide Road
• Phone: 806.792.1043

• Location: 4425 19th Street
• Phone: 806.788.2015

Walgreens Pharmacies

• Location: 4847 Slide
• Phone: 806.792.8267

• Location: 5206 4th Street
• Phone: 806.792.1377

Wal-Mart Pharmacy

• Location: 702 West Loop 289
• Phone: 806.793.7124
• $4 Prescription list

Useful Links

U.S. Center for Disease Control
http://www.cdc.gov 

American Academy of Family Physicians - providing general medical information for patients and their families
http://www.familydoctor.org

City of Lubbock Health Department
http://healthdept.ci.lubbock.tx.us/