Forms



Read the Frequently Asked Questions about Student Health Insurance.

  • Student Health Form
    For newly matriculating students only. The due date for completion of this form is July 15, 2013. If your physical exam is not scheduled until after July 15, please complete and submit pages 29, 30 and 31, with a note indicating the date of your physical. Once your physical is complete, please submit page 32. Please be sure to review the Student Health Insurance Plan and, if you have comparable private insurance, to waive out at www.gallagherkoster.com/conncoll. You must also submit a copy of your private insurance card, front and back, to Student Health Services.

    Send to:
    Student Health Services
    Box HLTH CTR
    Connecticut College
    270 Mohegan Avenue
    New London, CT 06320-4196

Download Adobe Acrobat Reader

Contact Information:

Phone:
860-439-2275
Fax:
860-439-5430

Email shs@conncoll.edu

Student Health Services
Warnshuis Building
Connecticut College
270 Mohegan Avenue
New London, CT 06320-4196