Student Forms
Medical Information Form
Instructions
Print and complete all four pages of the Health Form. Mail the form to the address provided on page 1 or return the form to the Downey-Garofalo Health Services Building.
Student Health Insurance
IMPORTANT CHANGES TO THE STUDENT HEALTH INSURANCE PROGRAM will occur beginning with academic year 2008/2009. View the informational letter sent out to students and parents. [PDF]
California University of Pennsylvania has contracted with the Hulse/QM Healthcare Advocates (HQM) to administer their student insurance program.Visit their site here: www.hulseqm.com/myinsurance
If you have any questions about using the Hulse website, please call Hulse at 1-800-434-5320.

