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Insurance and Prescriptions for United Healthcare Student Resources (2017-2018 insurance)
- Student Health Insurance Claims Form (.pdf)
- OptumRx New Prescription Mail-in Order Form (.pdf)
- Prescription Override Form (.pdf)
Medical Records Release Authorization
- The Consent to Share Health Information between FIT Health Services and Counseling Center is available online at fit.studenthealthportal.com. Log in to the health portal with your FIT username and password and click My Forms.
- Authorization to send records to FIT Health Services (.pdf)
- Authorization to send records from FIT to another medical office/facility (.pdf)