If you have any questions, please call the clinic at 905-828-5255 or visit us at DV 1152 (around the corner from the bookstore).
Important Forms of the Health & Counselling Centre
Please find important clinic forms below.
Please find the verification of student illness or injury form below.
| Downloadable PDF |
|---|
Verification of Student Illness or Injury.pdf
(398.44 KB)
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Please find the verification of extenuating circumstance form below.
| Downloadable PDF |
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Verification of Extenuating Circumstance.pdf
(159.77 KB)
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Please find the form to authorize the release of health records (Tri-Campus).
| Downloadable PDF |
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Release of Health Records.pdf
(178.76 KB)
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Please find the Cowan Insurance UHIP claim form. You must remember to take a copy of your UHIP form every time you are seen off campus.
| Downloadable PDF |
|---|
UHIP Claim Form.pdf
(1.14 MB)
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Please find the Greenshield General Claim form below.
| Downloadable PDF |
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Greenshield General Claim Form.pdf
(40.46 KB)
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Please find the Greenshield Dental Claim form below.
| Downloadable PDF |
|---|
Greenshield Dental Claim Form.pdf
(43.75 KB)
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Please find the UTMSU Health & Dental Plan (Greenshield +) overview below.
| Downloadable PDF |
|---|
Greenshield UTMSU Brochure.pdf
(252.43 KB)
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Learn more about Greenshield + and the UTMSU Health & Dental plan!
General inquiries:
infobooth@utmsu.ca
Please find the UTGSU Health & Dental Plan overview below.
| Downloadable PDF |
|---|
UTGSU Health & Dental Plan Overview.pdf
(337.05 KB)
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Learn more about the UTGSU Health & Dental plan!
Check out their FAQ page too!
Please find the APSU Health & Dental Plan overview below.
| Downloadable PDF |
|---|
APUS Health & Dental Plan Overview.pdf
(243.68 KB)
|