Forms
Find all the University of Denver Health & Counseling Center forms you need at the links below.
Student Health Insurance Plan (SHIP) Brochure
- 2023–2024 SHIP Summary Brochure for Domestic Students
- 2023–2024 SHIP Coverage Certificate for Domestic Students
- 2023–2024 SHIP Summary Brochure for International Students
- 2023–2024 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.
Enrollment
Student Health Insurance Plan (SHIP) Enrollment
DocuSign documents will be automatically submitted to the HCC for processing (no need for a separate email).
- 2023 Fall SHIP Enrollment Form
- DocuSign 2023-2024 Fall SHIP Enrollment Form
- Set up a United HealthCare Student Resource Insured account
Health & Counseling Fee (HCF) Enrollment
Email the completed 2023-2024 Health & Counseling Fee Enrollment Form to insurance@hcc.du.edu.
DocuSign documents will be automatically submitted to the HCC for processing (no need for a separate email).
- 2023-2024 Health & Counseling Enrollment Form
- DocuSign 2023-2024 Health & Counseling Fee Enrollment Form
Release of Information & Parental Consent
Immunization Forms
Requirements
The University of Denver is committed to ensuring the health and safety of the entire community. University of Denver policy and Colorado State Law require most students to show proof of immunization against measles, mumps, rubella, and meningitis. The University of Denver Health and Counseling Center (HCC) is responsible for ensuring student compliance with both state and university vaccination requirements.
The links below provide detailed information regarding those requirements, as well as information on where to get vaccinated and how to submit proof of immunization or requests for exemptions.
For help obtaining immunization or submitting your vaccination records, contact the HCC at 303-871-2205 or info@hcc.du.edu. Please include your DU ID number, first and last name with all communications.
Medical Exemptions
Medical exemptions must be requested by submitting a letter or statement signed by your healthcare provider indicating the clinically supported reason(s) you should not receive the vaccination(s). This letter must include the time period for which the exemption is valid.
Non-medical Exemptions
DocuSign Non-Medical Meningococcal Disease Information and Vaccine Waiver form for 2023-2024 year valid through July 30, 2024
DocuSign Release of Information [creation pending]
DocuSign Campus Partners Release of Information [creation pending]
DocuSign Parental Consent to Treat Form [creation pending]
DocuSign Parental MyHealth Portal Access Request Form [creation pending]
DocuSign 2023-2024 Health & Counseling Fee Enrollment Form. Once signed, this document will be automatically submitted to the HCC for processing (no need for a separate email).
DocuSign 2023-2024 Fall SHIP Enrollment Form. Once signed, this document will be automatically submitted to the HCC for processing (no need for a separate email).