Forms for Download

Every Student Must Fill Out a Waiver or Enrollment Form Every Year:
State Mandatory Health Insurance Requirement

Visiting will take you to the Gallagher Student Health & Special Risk web site for completion of waiver or enrollment form. All waivers or enrollments must be completed by September 15, 2016 (Spring January 30, 2017) to remove the health insurance charge from the student tuition bill.

Please read all the following categories carefully selecting the one that best describes you and click on it. *If you have any difficulty completing the forms here is A Guide to Completing Health Information.

Note: Athlete refers to anyone trying out for a varsity sport not intramurals

Freshman, Transfer, Pre-Pharmacy and Pharmacy

Full Time Law Student
1 form, 2 pages

Returning Football Player
2 forms,  2 pages

Tuberculosis Form
1 form, 1 page