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All students must submit the following by July 1:

Proof of Insurance: Front and back copy of your

health insurance card

Student Health Data Form: Completed by you or

your parent/guardian (form provided in packet)

Medical Examination Form: Completed by your

physician (form provided in packet)

If you do not have a family health insurance plan, you will

need to purchase a personal coverage plan offered by a

health insurance company.

Extra forms are available for download on the Orientation

webpage under “Useful Links” labeled “Health &

Insurance Information.” If you have questions or need to

discuss any medical issues, please contact our full-time

nurse, Yvette Spencer, at

yspencer@bsc.ed

u

or (205)

226-7720, or call Peggy LoPresti at (205) 226-4717.

NOTE

: Student athletes must submit additional

documentation directly to Athletics. Both sets of

paperwork are required by the college.

HEALTH FORMS & MEDICAL INSURANCE FORMS

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