Health Access Fee

The per term Health Access Fee supports the College's continuing commitment to providing health services to all active students.  The fee appears on the tuition and fees bill for each term of enrollment. 

Health Access Fee FAQ

- Who must pay the fee?

All enrolled students/degree candidates, including:

  • Undergraduate students
  • MALS students
  • Graduate students in the Arts and Sciences
  • Thayer, Tuck and DMS graduate and professional students

- Who doesn't have to pay the fee?

  • Part time students
  • Leave/Off term students

- If I don't use the Health Service, can the fee be waived?

No. This fee is not a user fee. The College assesses it on all enrolled students to help share the cost of supporting access to on-campus health care. Charging a fee for service could discourage many students from accessing needed care and could place a substantial burden on students who become ill or injured.

- I am receiving financial aid. Will it cover the Health Access Fee?

As a mandatory fee, the cost will be included in the costs of attendance used to calculate individual financial aid awards. Consult with the Financial Aid Office of your school to determine how this may specifically impact you.

- I have health insurance. Do I still have to pay the fee?

Yes. The Health Access Fee supports the College's ability to continue to provide on-campus health care services through the use of general funds. You need your health insurance to cover the cost of health care services you receive from off-campus providers. Your insurance costs through the Dartmouth College Student Group Health Plan or other insurance providers are separate from the Health Access Fee assessed by the College to support on-campus health care at Dick's House.

- How will the Health Access Fee be billed?

The fee will appear on the bill for each term of enrollment.

Services Covered by the Health Access Fee

The Dartmouth College Health Service, located in Dick's House, provides a patient centered medical home to all Dartmouth students.  Our staff is committed to providing inclusive, culturally sensitive, quality health care to our diverse population.  The Health Service strives to support the personal wellness of our community which provides an essential foundation for both academic and lifelong success.

Below is a listing of the most commonly provided services that are provided to students paying the Health Access Fee at no additional cost.  Click on the department name for more information regarding specific services available within that department.  Please be mindful that there are a small number of services provided by the Health Service that have a fee associated with them, more information is detailed below under "Billable Services". 

Primary Care Outpatient Clinic: 

  • Annual check-ups and preventive screenings
  • Care for illnesses and injuries
  • Management of chronic health concerns
  • Non-urgent health concerns
  • Skin problems
  • Back or joint pain
  • Sleep problems
  • Medication prescription and management
  • Gynecologic exams for women and pap smears for all sexes/genders
  • Sexual health care
  • Allergy shots
  • Travel consultations
  • Radiology

Lab Tests

The Health Service routinely draws blood and collects specimens for provider ordered labs, however, many of these labs will be processed by the local hospital, Dartmouth Hitchcock Medical Center (DHMC).  Several of these labs are paid for by the Health Service for students paying the Health Access Fee, all other labs will be billed to the patient's insurance by DHMC.  

Questions regarding lab costs should be directed to the Health Service Patient Accounts Office via e-mail to  

No cost in-house lab tests

  • Glucose Finger Stick
  • HIV
  • ½ Ab Oral
  • KOH Prep
  • Lipid Profile
  • Mono Screen
  • Saline Wet Mount
  • Strep A Screen
  • Urine Dipstick
  • Urine HCG
  • Fecal Occult x 1
  • Fecal Occult x 3

Nursing Inpatient Care

  • After hours nursing advice and assessments
  • Medical, post-surgical admissions
  • Mental health admissions

Counseling Center

  • Academic concerns
  • Adjustment issues
  • Alcohol/substance use and abuse
  • Anxiety/stress
  • Career issues
  • Cultural issues
  • Depression
  • Eating Issues/body image
  • Family issues
  • Grief/loss
  • Loneliness
  • Relationship issues
  • Roommate issues
  • Self-esteem
  • Self-injury
  • Sexual assault
  • Sexuality identity issues
  • Suicidal thoughts/behaviors
  • Time management and study skills
  • Traumatic experiences
  • 24-hour crisis (emergency) counseling
  • Group services
  • Nutrition
  • Consultation & education programs


Annual Flu Shot Clinics:

Each fall term, the Health Service offers free flu shot clinics for all active Dartmouth students and employees.  

Throughout the fall term flu shot clinics will be set up at locations on campus.  Clinic dates, times and locations will be announced in the daily Vox.

Any active student who would like a flu shot will have access to receive one.  If unable to attend one of the flu shot clinics, please contact the Priamry Care Appointment Office at (603) 646-9401 to schedule.    

Services Not Covered by the Health Access Fee

The services listed below have fees associated with them.  For a complete listing of Health Service billable services and the associated fee please visit the Billable Services page.                              

Dick Hall's House Pharmacy

The on-campus pharmacy is exclusively for the use of Dartmouth College students, employees, retirees, and dependents and Dartmouth-Hitchcock Medical Center (DHMC) employees, retirees, and dependents. 

  • Prescription medications
  • Prescription transfers as the NH law allows
  • Non-prescription medications (Over-the-counter)
  • Snacks
  • Small gifts
  • 24-hour vending pharmacy with over-the-counter medications

Primary Care Outpatient Clinic

  • Leave term office visits
  • Off term office visits
  • Part time student office visits
  • Athletic physicals
  • DOT physicals
  • Immunizations
  • Birth control devices

Miscellaneous Services

  • Cane rentals
  • Crutch rentals
  • Copies of patient medical record
  • Copies of x-rays
  • Form completions


  • All labs not paid for by the Health Service will be billed to the patient's insurance by DHMC.
  • All labs ordered by a provider outside of the Health Service will be billed to the patient's insurance by DHMC.