FORMS AND INSURANCE
- Immunization Form (pdf)
- Personal Health History (pdf)
- Physical Examination Form (pdf)
- Nursing Program Immunization & Clinical Compliance Form (pdf)
- Disability Support Services Application (pdf)
- Letter to DSS Applicants (pdf)
Rockford University is committed to ensuring the availability of basic health care to all students and follows the basic minimum requirements as determined by recent health care reform.
The student health insurance plan is provided through Wellfleet Group, LLC located in Springfield, MA. All full-time students, residential students, nursing students, education students, international students and those who participate in intercollegiate athletics are required to have adequate health insurance coverage as well as meeting other requirements determined by his or her program of study. Wellfleet Group, LLC provides a health insurance plan for our students that is designed to meet the individual or group insurance minimum standards as required by health care reform law.
Students who wish to purchase health insurance through the student plan may do so by accessing the insurance brochure and enrollment form below or at Wellfleet. If you want to enroll in the student insurance for Spring 2020, you must do so before January 27, 2020.
Students who have personal health insurance coverage may waive the health insurance charge by completing the on-line waiver. Waiver information can be found below or at Wellfleet.
In order to have the health insurance charge waived on your student account you must complete the insurance waiver before the deadline the first semester you attend Rockford University and every Fall semester there after. Waivers submitted at any other time will be invalid and will not be accepted.
- Insurance, enrollment and waiver information is required by all full-time students for 2019-2020
5050 E. State Street
Rockford, IL 61108
Walk-in hours: Mon- Fri - 10:00 am to 4:00 pm
Other hours are available by appointment
Physician available by appt - Tues afternoons
Patients must make appointments for the physician or counseling services
Walk-in hours: Tues-Thurs - 10:00 am to 2:00 pm
Mon & Fri - Closed
Other hours available by appointment