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  1. Click ‘Get Form’ to open the Download health forms in the editor.
  2. Begin with the Immunization Form. Fill in your name, date of birth, and contact information. Ensure you have your healthcare provider complete the required immunizations section.
  3. Next, move to the Tuberculosis Screening & Testing Form. Complete Part 1 by answering all questions honestly. If any answers are 'Yes', ensure your healthcare provider fills out Part II.
  4. Proceed to the Physical Exam Form. This must be completed by a healthcare provider within two years of enrollment. Make sure they sign and date it.
  5. Complete the Consent and Signature page, ensuring both you and a parent/guardian sign if you are under 18.
  6. Finally, review all sections for completeness before mailing all forms together to Quinnipiac University Student Health Services.

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During the designated Enrollment/Waiver periods Gallagher Student Health will post an online Insurance Decision Form. This form allows students to declare their intention to waive or enroll in the student health insurance plan. This form must be submitted by the posted deadline.
Quinnipiac will continue its policy that does not require COVID booster shots for students, faculty and staff. However, it is strongly recommended that the entire university community stay up to date with all recommended COVID boosters.
In order to opt out of the student insurance you must fill out the waiver form found on the Student Health Insurance website prior to the end of the enrollment change period at the start of the semester.

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Below Average Value Nationwide Quinnipiac University is ranked #1,899 out of 2,223 for value nationwide.
The waiver process is annual, but should you lose coverage mid-year, you have 30 days from the date of loss to apply for coverage through Rice.
Students may enroll into the Student Health Insurance Plan or they may enroll in another US or home country plan that meets the Universitys minimum health insurance requirements. In order to waive the Student Health Insurance Plan, students must complete the online waiver form with Blue Cross Blue Shield.

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