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Health Insurance Waiver/ Enrollment
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Returning students must enroll or waive health insurance each Fall before August 1. New students must enroll or waive health insurance the first semester of enrollment.  Your Wesleyan student ID will be required.  Waivers must be completed and approved on the Gallahger insurance website. Students who do not complete the approved waiver by the deadline will have the non-refundable annual insurance premium billed to their college account.  
 
Students who want to purchase Gallagher insurance (thru Wesleyan) must enroll on the insurance website before the deadline. 
 
 
Gallagher International Policy website  https://www.gallagherstudent.com/iss (International Students) *Only the Gold Plan meets waiver requirements. 
 
ISO Care website https://www.isoa.org/wesleyan_college  (International Students)  *Only the ISO Care for Wesleyan College Plan meets waiver requirements.
 
Gallagher Benefits Information 2017-18 (.pdf, 368K)
Gallagher International Policy Information 2017-18 (.pdf, 286K)
ISO Care for Wesleyan College Brochure 2017-18 (international Students Only (.pdf, 300K)
Gallagher Brochure 2017-18 (.pdf, 141K)
Health Services Brochure 2016
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Health Services Brochure (.doc, 685K)
Traditional Student Medical Forms (required for new students)
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Medical Record Form (.doc, 70K)
Immunization Form (.doc, 344K)
Meningitis Form (.pdf, 127K)
Emergency Medical Form (.doc, 317K)
Privacy Form (.pdf, 205K)
Physical Examination / Athletic Pre-Participation Form (.doc, 39K)
Sickle Cell Form for Athletes Only (.pdf, 161K)
Medical Requirements Check List (.doc, 87K)
Non-Traditional Student Medical Forms
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Non-Traditional Immunization Form (.docx, 14K)
Medical Record Form (.doc, 70K)
Meningitis Form (.pdf, 127K)
Emergency Medical Form (.doc, 317K)
Privacy Form (.pdf, 205K)
Physical Examination / Athletic Pre-Participation Form (.doc, 39K)
Non-Traditional Medical Requirements Check List (.doc, 82K)
Request for Immunization Record
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Release of Information Form (.docx, 22K)
Request for Medical Records
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Medical Release Form (.docx, 22K)
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