欢迎来到奥斯汀学院! These health forms are both required and time-sensitive. Failure to complete the required information could affect your ability to move into your residence hall, 参加校内活动, 或者去上课. However, we are always happy to answer questions and help in any way possible. Please feel free to contact us for more information regarding 卫生服务 by calling 903.813.2247 或电子邮件 卫生服务.
贵公司的下列项目 健康表2022-2023包 (pdf) must be returned by July 1, 2022.
- 残障设施 Form (May be mailed directly to the Academic Skills Center)
- Copy of the front and back of your current insurance card
The final page of the packet provides the following for your information – no need to return:
- 2022-2023 Student Health Insurance Plan Highlight Flyer
- Instruction sheet for online waiver or 招生 (Waiver must be completed ONLINE by June 17)
(The waiver/招生 system will be available beginning approximately mid-May.)
COMPLETE Health Packets may be returned:
900 N. 圣格兰德大街. 61629
电子邮件: You may request a secure email link by calling 903.813.2247 或者发送电子邮件给 email@example.com.
巴黎人官方版APP下载 requires all enrolled students to have valid health insurance. 所有的学生都必须去 学术健康计划 选择“加入”或“放弃” 招生. Waiving requires that you provide current insurance information for verification no later than June 17, 2022. Please be sure to upload a copy of the front and back of your insurance card on the waiver form.
For those who choose to enroll in the health plan, the annual premium of $2,549.00 will be added to your student account. The plan is underwritten by Wellfleet Group, 有限责任公司, and covers care provided at the 巴黎人官方版APP下载 Clinic as well as a large array of in-network providers. 有关此计划的摘要，请参见 保险了 或者你可以打免费电话855.370.7215 to speak with an academic health plan representative.
个人及家族史: To the best of your ability, please carefully complete.
PHYSICAL EXAMINATION FORM / IMMUNIZATION FORM
体格检查: A licensed Physician, Nurse Practitioner, or Physicians’ Assistant 必须填写并签署 the Physical Examination form on page 1.
免疫接种记录: Your physician or their representative 必须填写并签署 the immunization information on page 2. A copy of other school records immunizations will suffice, providing it meets all of our requirements.
Since mental health issues can influence adjustment and academic success in college, it is important for those with a need to know to be informed of prior mental health issues and treatment. The 巴黎人官方版APP下载 咨询服务 provides crisis intervention, 短期咨询, and referral assistance for all students. To the best of your ability, please carefully complete this form. 查看有关的更多信息 咨询服务 或联系 903.813.2247.
Students with documented disabilities who wish to utilize classroom accommodations are required to register with the College through the Office of the Vice President for Student Affairs. It is the student’s responsibility to provide written documentation of the disabling condition, the impairment(s) the condition causes, 并推荐住宿. Determination of eligibility for services and of appropriate accommodations is made on an individual case-by-case basis. To the best of your ability, please carefully complete this form. 查看有关的更多信息 残障设施 或打电话 903.813.2454.
AUTHORIZATION SIGNATURE AND EMERGENCY CONTACT FORM
Please review and sign the top white copywriting firmly enough to copy through to the pink and yellow pages. All areas must be completed and signed by the student OR by both the student and the parent/legal guardian if the student is less than 18 years of age.
You are encouraged to carefully check your family’s insurance policy. If it does not cover intercollegiate athletics, it is recommended that you purchase the student insurance plan underwritten by Wellfleet Group, 有限责任公司. If you choose to use your family’s insurance plan, please include a photocopy (front and back) of your insurance card with this packet before July 1, 2021, 除了在线弃权表格.
Athletes are not permitted to participate in their team’s activities prior 向所有的臣服 所需的形式. From June 1 through August 1, please contact 希拉•史密斯 或打电话 903.813.2499，如果你有任何问题. After August 1, contact the athletic trainer 或打电话 903.813.2514 如果你有任何问题. Physical exam forms specifically for athletics may be accessed from the list of forms below. Note athletes are not required to submit both the physician physical exam from the health packet and the one specific for athletes. Athletes may submit only the 参与前身体评估 for both health services and athletics.
All other questions regarding your health packet can be answered by calling Adams Center at 903.813.2247 或发邮件 firstname.lastname@example.org. Many of these forms can also be downloaded below: