Forms

Find all the University of Denver Health & Counseling Center forms you need at the links below.

 

Enrollment

Student Health Insurance Plan (SHIP) Enrollment

• Summer Quarter Student Health Insurance Enrollment Form 2021-2022
• Set up a United HealthCare Student Resource Insured account

 

Health & Counseling Fee (HCF) Enrollment

• HCF Enrollment Form 21-22

Student Health Insurance Plan (SHIP) Brochure

• 2021–2022 SHIP Summary Brochure for Domestic Students
• 2021–2022 SHIP Coverage Certificate for Domestic Students
• 2021–2022 SHIP Summary Brochure for International Students
• 2021–2022 SHIP Coverage Certificate for International Students

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

 

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