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Health Services Brochure 2016
Health Services Brochure (.doc, 685K)
Health Insurance Waiver/ Enrollment
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 CHP (Consolidated Health Plan) 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 CHP insurance (thru Wesleyan) must enroll on the insurance website before the deadline. 
to waive or enroll in insurance. CHP Insurance phone number is 1-888-722-1668.  
ISO Care website (International Students Only) 
CHP Insurance Brochure 2016-17 (.pdf, 510K)
ISO Care for Wesleyan College Brochure 2016-17 (international Students Only (.pdf, 213K)
Request for Immunization Record
Release of Information Form (.docx, 22K)
Request for Medical Records
Medical Release Form (.docx, 22K)
Medical Forms
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 (.pdf, 161K)
Medical Requirements Check List (.doc, 87K)
Non-Traditional/ Encore Immunization Form (.docx, 13K)
Non-Traditional/ Encore Medical Requirements Check List (.doc, 82K)
Non-Traditional/ Encore Physical Examination Form (.doc, 38K)
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