Hartwick College Health Insurance Form

To visit the website and learn all about the coverage click the box below.

Hartwick college health insurance form. Hipaa notice of privacy practices for. Student health insurance website cdphp. It must be submitted electronically by all students. For further information including plan documents and enrollment forms please contact the office of human resources at 607 431 4315 or humres hartwick edu.

You must enroll in a policy made available by the college or waive the hartwick insurance with proof of coverage. Major concentration elective listing use this form to declare global studies concentration or public health elective distribution. Hartwick offers insurance to students at additional cost through a partnership with cdphp. Effective health care for college students should be convenient affordable and accessible.

2020 21 hartwick college institutional forms you will be. Click here for online version. Returning athletes only form due july 15th intercollegiate athletes must update their history and physical form every 12 months to maintain eligibility. 2020 hartwick college student summary.

Immunization record and physician appointment required. I am no longer covered by the college s secondary athletic injury insurance. I also understand that my personal medical information may be discussed among hartwick college health services staff team physicians coaches athletic administrators and certified athletic trainers but. Authorization for release of medical information.

Health insurance election form. Hartwick is partnered with cdphp those students that elect to be covered by the plan have a dedicated website that provides resources and answers at the click of your mouse. An on line health insurance election form is available starting in june. Gary robinson director of counseling services location.

To prepare for a successful start to your amazing journey at hartwick please be sure to complete the required forms by the dates indicated below. A summary of the benefits for the 2020 2021 plan year can be found by clicking the box below. No oral statement made by a representative of hartwick college may contradict this reservation of rights provision. Health insurance election form.

C health insurance is required for all full time students. Heidi tanner director of wellness and health promotion location. Form can also be used to for interdisciplinary minor requirements. Also use this form to modify biology from 7 7 7 to 10 7 4.

Health forms pdf print complete mail. Perrella health center phone. Amy gardner fnp c director perrella health center phone. Health insurance election form must be submitted even if not choosing health insurance coverage through hartwick.

Welcome to hartwick college. Medical leaves are managed by the perrella health center.