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Health Services Downloadable Forms

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.

 

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This Page Last Updated: 8/12/2008 by delverne
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