Welcome accepted applicant to the founding school of osteopathic medicine! Thank you for making the choice to attend A.T. Still University (ATSU) - Kirksville College of Osteopathic Medicine (KCOM). We are very happy to have you joining the student body and the Kirksville, MO community.

The following policies or guidelines apply to all programs at KCOM.


All tuition, educational supply, and equipment fees are due and payable by the first day of each term. The controller’s office will receive tuition payments and make refunds as necessary. For more information regarding tuition, please visit University Catalog

Background Check

I understand my final approval for matriculation to ATSU is contingent upon satisfactory review of information contained in my criminal background check report. The background check will be conducted by a vendor approved by ATSU, and at my own expense. I further understand that I am required to report any arrests, fines, charges (pending and/or dropped), or convictions that have occurred or may occur from the date of my application forward. Such reports should be submitted to the Vice President for Student Affairs within 5 days of the event.

Responsibilities and Conduct

Please refer to the University Student Handbook for information related to the responsibilities and expectations of conduct for students at KCOM.

Orientation Dates

Orientation traditionally begins mid-July each year. The White Coat Ceremony is held on Saturday following orientation week. A detailed schedule is provided to all accepted students by the Admissions Department in early spring.


Required attendance activities are denoted on the student calendar. Review the University Catalog for policies about student absences.

Required immunizations & screenings

ATSU-KCOM requires all entering students (medical students and biomedical science students) and fellows to provide proof of their immunizations in order to enroll in courses.

  • It is the responsibility of the student to maintain up-to-date immunization throughout the duration of enrollment.
  • Immunization and screening documents are maintained and monitored by ATSU-KCOM immunization coordinator in the office of Clinical Affairs.
  • Non-compliance while enrolled may result in disciplinary action including, inability to register for classes, removal from clinical rotations, suspension and/or dismissal.
  • All testing is at the expense of the student.

Under certain circumstances, a request for exemption from preventive health requirements may be provisionally granted if a state of Missouri allowable immunization exemption certificate is on file with the ATSU-KCOM immunization coordinator. However, ATSU-KCOM cannot guarantee placement in a clinical region or in clinical rotations when this exemption is granted. Consequently, students receiving an exemption from preventive health requirements may take longer or may not be able to complete the curriculum and graduate.

Required immunizations are updated annually and therefore subject to change.

  1. Required proof of the following immunizations prior to matriculation:
    • Diphtheria, Tetanus, Pertussis (DTP) series
    • Hepatitis B series
    • Positive Hepatitis B Surface Antibody Titer (Negative result follow-up requirement listed below)
    • Measles, Mumps, Rubella (MMR); if documentation cannot be produced, a titer is required
    • Meningococcal
    • Polio series; if documentation cannot be produced, a titer is required
    • Tdap
    • Varicella series; if documentation cannot be produced or student contracted the chickenpox, a titer is required
    • Negative Hepatitis B Surface Antibody Titer follow-up options:
      • Repeat the three vaccination series and repeat Surface Antibody Titer one or two months later.
      • Receive one booster vaccination and repeat Surface Antibody Titer one to two months after. (If the titer is still negative, proceed with the completion of the series and additional titer).



  2. Required immunizations while an active student at ATSU-KCOM:
    • Tdap/Td Booster
    • Annual Influenza


  3. Recommended Immunizations & Titers (some clinical training sites may require some or all of these):
    • Hepatitis A Series
    • MMR Titers


Some clinical training sites require students show proof of immunity (e.g., measles) before being allowed to train at the site. Therefore, it is recommended that students have this testing completed in advance of their clinical training portion of the curriculum.


Required proof of the following screenings while an active student at ATSU-KCOM:
Students will be notified of impending non-compliant status. Students not in compliance with the immunization and screening requirements will be reported to the Associate Dean of Clinical Affairs (DO program) or the Graduate Program Committee (Biomedical Sciences). In addition, non-compliant students may be immediately removed from classes, clinical experiences and direct patient care until compliance has been achieved. Proper adherence to the requirements necessitates good advanced planning.

  • Tuberculosis Screening (TST, IGRA or chest x-ray). Required of all students annually.
  • Drug screenings as required by main campus or regions. Students will be notified of these requirements. Updated screenings may be required by specific rotation sites. Drug screenings may also be conducted if reasonable suspicion or fitness-for-duty concerns arise. Students are required to provide body substance samples to determine the use of illicit drugs. The University will protect the confidentiality of all drug test results unless criminal charges are involved. All testing is done at the expense of the student. A student who tests positive may be immediately placed on suspension until further action is taken. Action will be made in accordance with University policy. The student shall not return to any clinical activities until formally approved and notified in writing. Additional requirements may be imposed. Failure to comply with any or all requirements may result in further disciplinary action including dismissal.