Forms and Information
New/Incoming Student Forms
- Undergraduate Students
- School of Management Students
- School of Medicine, School of Nursing and PA Program Students
- Graduate & Professional Students
Health Information Services Forms
- Health Information Release Form
- Health Information Request Form
- Mental Health & Counseling Records Release Form
Other Forms
- Waiver submission (only available at the beginning of the fall and spring semesters)
- Claim Form
- Revoke Waiver
- Student Enrollment/Change Application (for dependents and Affiliate plan)
- Student Travel Form
- Comment Card
Brochures
- Inpatient Care Facility (ICF) Brochure
- Mental Health and Counseling for Students
- Quick Guide to Student Coverage 2010-2011
- The Common Cold
