Forms for Download

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

Visiting www.gallagherstudent.com/wne 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, 2014 (Spring January 30, 2015) to remove the health insurance charge of $2365 (Spring $1424) from the student tuition bill.

Please read all the following categories carefully selecting the one that best describes you and click on it.

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

Freshman or Transfer Student
1 form, 3 pages

Freshman or Transfer Student Athlete
3 forms, 5 pages

Pre-Pharmacy or Pharmacy Student
1 form, 3 pages

Pre-Pharmacy or Pharmacy Student Athlete
3 forms, 5 pages

Full Time Law Student
1 form, 2 pages

Returning Football Player
2 forms,  2 pages

Tuberculosis Form
1 form, 1 page

Sickle Cell Form
1 form, 1 page