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

 

For loss of coverage or study abroad SHIP forms, please contact the HCC at 303-871-2205 or insurance@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 will also also provided for informational access.

 

Student Health Fee (HCF) Enrollment

The HCF will be automatically assessed (added to the student’s DU bill) each enrolled term for most eligible students. Details are on our Student Health Fee (HCF) page.

Eligible students who do not have it assessed (based on program type) can complete the Docusign (auto-submitted) request below, or request a PDF version from the HCC; email hccinfo@du.edu or call 303.871.2205 during business hours.

 

Release of Information & Parental Consent

 

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.

Electronic Signable Forms

We want to make it easy to complete the forms, and also need the forms completion meets legal standards. Below we are listing the forms you can completed fully electronically right here through our site. Once signed, these documents will be automatically submitted to the HCC for processing.

Click below to access current Docusign (auto-submitted) forms. Additional forms are coming. (Contact the HCC if you need a fillable copy more immediately.)