Waiver Request - Student Health Fee

WALKER HEALTH WAIVER REQUEST

Student Health Fee

This application is valid for one semester only and is to be submitted prior to the start of the semester.

Students must reapply each semester.

Student Name*

First Name

Last Name

Student ID #*

SUNY Oswego Email Address*

Student Phone*

Semester/Year*

The Mary Walker health fee is a mandatory fee charged to all students for access to services provided and to cover the costs associated with operating health services, counseling services and health promotion and education. Primary health care services and counseling services are offered in the Mary Walker complex, as well as through telemedicine and telecounseling platforms. The fee is not a user fee.

Reason for Waiver Request*

Forward completed form to deanofstudents@oswego.edu or

Dean of Students

SUNY Oswego, 7060 State Route 104

501 Culkin Hall

Oswego, New York 13126