Forms

We've gathered the most common HCC-related forms below. For full details on related services, visit the relevant pages using page-top menus.

Student Health Insurance Plan (SHIP) overviews

• 2024-25 Anthem SHIP Benefits Summary
• 2025-26 SHIP Anthem Benefits at A Glance

For loss of coverage or study abroad SHIP forms, please contact the HCC at 303-871-2205 or insurance@hcc.du.edu.

Enrollment

Student Health Insurance Plan (SHIP) Enrollment

DocuSign documents will be automatically submitted to the HCC for processing (no need for a separate email). A plain PDF version of the form is also provided for informational access.

• 2025 Fall SHIP Enrollment Form (PDF)
• DocuSign 2025-26 Fall SHIP Enrollment Form

Health & Counseling Fee (HCF) Enrollment

The HCF will be automatically assessed (added to the student’s DU bill) each academic term for all eligible students. Details are under expandable headings on our Health & Counseling Fee (HCF) page.

Eligible students who initially waive the HCF, or do not have it assessed (based on program type), but still wish to receive the service benefits, can manually enroll using the DocuSign form below. A plain PDF version of the form is also provided for informational access.

DocuSign documents will be automatically submitted to the HCC for processing (no need for a separate email). 

• 2025-2026 Health & Counseling Enrollment Form (PDF)
• DocuSign 2025-2026 Health & Counseling Fee Enrollment Form

Release of Information & Parental Consent

• Release of Information (ROI) Form
• Campus Partners Release of Information Form
• Parental Consent Form
• Request for Parental or Guardian MyHealth Portal Access Form

Immunization Forms

Review our Immunizations page for details on required (and recommended) student immunizations, how to submit proof, and details on exemptions. Some Colorado quick links are below.

• CDPHE Vaccine Exemption page
• Colorado Certificate of Immunization