Forms & Guides

• Measles, Mumps, and Rubella (MMR) Immunization Form
• Meningitis Response Form
• Measles, Mumps, and Rubella (MMR) Immunization Medical Exemption Form
• Measles, Mumps, and Rubella (MMR) Immunization Religious Exemption Form
• Influenza (Flu) Medical Exemption Form
• Influenza (Flu) Religious Exemption Form

Insurance Plan detail and member responsibility for 2021-2022 plan year.
Please refer to affiliate rates for Teachers College students.

• 2021-2022 Columbia University Summary of Benefits and Coverage 

• 2021-2022 Columbia University (Affiliate) Plan Design and Benefits Summary

• 2021-2022 Columbia University Aetna Dental PPO Plan Benefits Summary

• 2021-2022 Columbia University Aetna Vision Preferred Plan Benefits Summary