IMPORTANT NOTICES
The following 3 Health Center forms are now submitted ONLINE:
1. Insurance Waiver
Undergraduate Student Health Insurance Plan (USHIP)
Fall Quarter and the remainder of the academic year 2008-2009
If you have comparable health insurance coverage and are sure that you want to waive the University-
sponsored Undergraduate Student Health Insurance Plan (USHIP), follow these instructions:
1. Go to the UCSC student portal at my.ucsc.edu.
2. Sign in to the student portal using your User ID and Password.
3. Select the Student Health Insurance Waiver link located in the “Academic News” section.
You will be redirected to the website where you can begin the secure waiver process.
4. Follow the instructions on the waiver web site to complete and submit your health insurance waiver.
If you do not have access to a computer, or for waiver assistance, please contact the Student Insurance
office at 831-459-2389 or email insure@ucsc.edu.
Deadline to waive is September 17, 2008
2. Personal Health History Questionnaire
(all new students)
&
3. Hepatitis B Status Statement
(ONLY students under age 19 on 9/20/08)
1. Go to the UCSC Student Health Communicator web site at: https://studenthealth.ucsc.edu/
2. If you are logging into the Student Health Communicator web site for the first time, you will need to
create an account. Select the “Sign up for an account” link and follow the instructions.
NOTE:You must have an active UCSC email account to access this secure on-line resource.
An access key will be mailed to your UCSC email address. This access key is required to confirm your
identity and complete your account setup. First time users will also need to read & acknowledge the
SHC Notice of Privacy Practices. Please follow the instructions on the Home page.
3. Log in and select “Messages”, then select “New Message” and then choose either the “Personal Health
History Questionnaire” or “Hepatitis B Status Statement” to complete and submit these secure
online forms.
On-Campus Health
UCSC Student Health Center and Medical Services