These forms may be downloaded and printed on
your printer for completion.

Note, you will need to have Adobe Acrobat Reader
installed on your computer to access these forms.

Consent to Treat / Emergency Contact Information

Immunization Form

NOTE:  The Insurance Waiver for Fall Semester 2008, is available through your URSA account.  Waivers MUST be completed through the online process.  The Insurance Office no longer needs a copy of your insurance card.

INSTRUCTIONS FOR ACCESSING THE ONLINE WAIVER FORM:

1.  If you already have an URSA account, you may log into http://ursa.unco.edu, click on the Financial tab and locate the link to the "UNC Student Health Insurance Plan Online Waiver System" (SHIP).

IMPORTANT:  Please be sure to have your insurance card available before you enter the online waiver system!

2. If you have been admitted, but do not have an URSA account, access the URSA home page at http://ursa.unco.edu and create your student account from the link titled "NEW STUDENTS START HERE." Once your account has been established, follow the same steps as in item 1 above.

THE DEADLINE TO WAIVE PARTICIPATION IN THE UNC-SPONSORED PLAN FOR FALL SEMESTER 2008 IS SEPTEMBER 8, 2008.