Health Services
Matriculation Requirement Forms
Instructions for All First-Year Students
It is our responsibility to request the following information to ensure your safety and well-being during your academic career. For this reason, we request the following be completed and submitted by the deadlines listed below. If no action is taken, a $75.00 late submission fee will be charged to the student’s account.
- Step 1: Once Account Activation Email is Received, Set up your HaverHealth Portal
- 48 hours after you activate your Haverford email and have your student ID number, login to HaverHealth Portal.
- Your registration ID will be your complete ID number, including two (2) zeros “00” in front of the seven-digit ID number. Example: 001234567
- Schedule your required Physical Evaluation with your PCP or GP.
- Step 2: By August 4, 2023, Upload your Required Documents in the HaverHealth Portal
- COVID-19: Authorization for Disclosure of Protected Health Information
- Financial Responsibility
- HIPAA Disclosure & Notice of Privacy Practices
- Required Physical Evaluation Form (scan and upload)
- Immunization Record & TB Self Screening
- Telemedicine Consent
- Decision Not to Vaccinate (if applicable)
- Proof of Insurance (due by August 4, 2023)
- Consent to Treat a Minor (scan and upload) Required if you are under the age of 18 at time of arrival. Only JPEG/JPG, PNG, & TIFF are the only image upload types.
- Special Diet Needs (if applicable) For students with a medically-related dietary need, such as food allergies and needs associated with Crohns, Celiac or diabetes.
- Step 3: By August 4, 2023 , Enroll and/or Waive the Student Health Insurance Plan (SHIP)
Haverford College will automatically enroll all international students into United Healthcare Student Resources (SHIP).
- Visit: https://rcmdstudentbenefits.com/
- Click either “Enroll Now” or "Waive Your School’s Insurance”
- Premium for 2023-2024 is $2,469.00 for the Gold Plan
- Upload Proof of Insurance to your HaverHealth Portal
Returning Students
By August 4, 2023, Enroll and/or Waive the Student Health Insurance Plan (SHIP).
- Visit: https://rcmdstudentbenefits.com/
- Click either “Enroll Now” or "Waive Your School’s Insurance”
- Premium for 2023-2024 is $2469.00 for the Gold Plan
- Upload Proof of Insurance to your HaverHealth Portal
Haverford College will automatically enroll any eligible students into the school-sponsored Student Health Insurance Plan (SHIP) each academic year that does not complete an insurance waiver. A waiver is offered to students who already have health insurance coverage on their own or through a parent/guardian, as applicable. Haverford College will automatically enroll all international students into United Healthcare Student Resources (SHIP).