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Downloadable Forms
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Pre-Registration Booklet & Forms:
2013 - 2014 Pre-Registration Booklet & Forms
Medical Forms:
CUMC SHS Medical Record Release Form
CUMC SHS Medical Record Request Price List
Travel Verification Form
Meningococcal Meningitis Response Form
Pre-Registration and Medical forms should be sent to Elsa Cadena via one of the following methods:
Preferred: Scan and email** completed forms to: cumc-shs-registration@columbia.edu
Fax: 212-305-2176
Mail: 630 West 168th Street, P&S Box 77, NYC 10032
In Person: 60 Haven Avenue, Floor Lobby
Enrollment Forms:
Dependent Enrollment Application
2012-2013 Post-Doctorate Fellow Enrollment Application
Part-time and Approved Leave Enrollment Application
Verification of Approved Leave Application
Other Forms:
Petition for Waiver of Spring Health Fee(s) – February Degree Candidates
Petition to Enroll or Drop After Deadline/Life Change Event Form
2012-2013 SHS Waiver for >50 Miles
Dual Degree Students
Enrollment and Other Forms should be sent to Kimberly Gonzalez via one of the following methods:
Fax: 212-342-3947
Mail: 630 West 168th Street, P&S Box 77, NYC 10032
In Person: 60 Haven Avenue #3E
Brochures
2012-2013 Aetna Student Health Insurance Plan Brochure
2012-2013 Aetna Student Health Insurance Highlight Sheet
2012-2013 SHS Overview Brochure
2012-2013 Mental Health Services Brochure
Columbia Dental Associates Student Dental Plan
Aetna Advantage Dental Plan Overview
Getting What You Want from Alcohol and Other Substances
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