The purpose of this study was to identify the unique health related needs of the Chinese international student (N = 91) and identify barriers to utilization of the available health care services on the university campus. The setting was a university campus in Arkansas which had an overall enrollment of 8864 students on the main campus during the fall of 2011 (Institution Research, 2011) with 351 international students of which 148 declared China or Taiwan as their home country (Onodera, Y., 2011). The study design was a needs assessment utilizing a survey approach. The survey was developed and administered utilizing the Qualtrics survey system. The survey was developed by the author specifically for this project based on a review of literature and working with personnel in the International and Multicultural Student Services. Findings include lack of responsibility for own health care needs, failure to seek medical attention with perceived need and an underlying dependence on International and Multicultural Student Services.