Explore the menus below to find HPS forms. Click on a form name to open it. All forms are in pdf format unless otherwise noted next to the form name.
Adobe Acrobat Reader is required to download the forms.
Health Insurance Waiver Form (domestic undergraduate students) (html form; see Health Insurance for Undergraduates page for instructions)
Health Insurance Waiver Form (international students)
Health Insurance Waiver Reversal Form
Aetna Claim Form
Aetna Benefit Highlights (2011-2012)
Aetna Plan Brochure (2011-2012)
On-Call International Pamphlet (2011-2012)
Immunization Form
Immunization Affidavit (for use when immunization conflicts with personal religious belief or medical condition)
Student Feedback on BMI Session
Adobe Acrobat Reader is required to download the forms.