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 link to the verification of student illness or injury (VOI) form below. ⬇️
Please visit the Registrars Office website at UTSG for the Verification of Illness or Injury form.
This page includes the most up-to-date tri-campus information, guides, and FAQs for completing the VOI form.
Requesting Documentation for Illness or Missed Academic Work
We understand that illness and personal challenges can impact your academic responsibilities. Here’s what you need to know if you're seeking documentation (Verification of Illness) from the Health & Counselling Centre (HCC):
If you have a current relationship with a healthcare provider in the community, you are encouraged to see them for documentation.
When We Can Provide Documentation:
- Verification of Illness (VOI) forms are issued, in person, on the same day you were assessed by one of our healthcare providers. This means that VOIs cannot be provided for illnesses that happened in the past.
- If you visited an emergency department on the day of illness, please bring a summary of your visit— we may be able to provide documentation based on the summary information
- If you are requesting documentation to support a petition or appeal with the Office of the Registrar, a VOI can be provided, when appropriate. You must have had a pre-existing care relationship with the HCC and have received care during the relevant time frame.
When We Cannot Provide Documentation:
- For any past illnesses, missed classes, or exams, if you were not assessed by us during the time of illness.
- VOIs are not provided over the phone. If you are unwell and requesting a VOI, you will be asked to come in person. There are very limited exceptions to this.
- If you arrive towards the end of the day and we have no remaining availability, you will be directed to a walk-in clinic to obtain your VOI.
- If you are registered with Accessibility Services, a VOI is not the appropriate form of documentation for missed work (ie: assignment extensions, missing coursework), if related to the documented pre-existing condition. You will need to connect directly with your Accessibility Advisor, or general Accessibility Services .
- Note: If your instructor has asked you to provide a VOI, you should still connect with your Accessibility Advisor, as VOI’s are not intended for pre-existing conditions.
- If your current concern is unrelated to your registered condition with Accessibility Services and you are seen at the HCC on the day of illness, we may be able to provide a VOI as outlined in the section above.
Important Note:
VOIs and support letters are based on the clinical assessment of HCC staff at the time of visit and are provided at their discretion. VOIs are not guaranteed. The HCC does not provide letters of support for petitions, however, please see notes above for situations where we may be able to provide a VOI.
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 |
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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 |
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Greenshield Dental Claim Form.pdf
(43.75 KB)
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Please find the UTMSU Health & Dental Plan (Greenshield +) overview below.
| Downloadable PDF |
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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 |
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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 |
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APUS Health & Dental Plan Overview.pdf
(243.68 KB)
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