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Student Immunization Record (online version)
 This form is mandatory and must be completed and submitted to Health and Counseling once prior to start of year. Print this form.
 
Health Insurance Waiver  
 This form must be each Fall for Full-Time undergraduate students. You will also be required to submit a valid copy of your insurance card to be held on record in the office of Health and Counseling. Print this form.
UHP Health Plan Enrollment Form

This is required only if student does not have medical insurance. If the student does not provide evidence of medical insurance the student will automatically be enrolled in this program. Print this form.

 
If you are a freshman who will be residing on campus, you must complete the menigococcal vaccination requirement either by providing documentation of vaccination or by completing the waiver section of the form indicating that you have received the information and have made the decision not to have the vaccination.
Print this form.
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