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Student Accounting Forms

Insurance Forms

These forms should be submitted to Student Accounting via our contact information below: 

1300 York Avenue, Room C-114
New York, NY 10065
Telephone: (646) 962-3475
Fax: (212) 746-5981
student-accounting@med.cornell.edu

PAYMENT OBLIGATION FORM

Required from all students. This form acknowledges your billing rights and responsibilities under the Fair Credit Billing Act. 

FERPA CONSENT FORM 

Required prior to release of any student information to a 3rd party

Contact Information

Office of Student Accounting 

1300 York Avenue, Room C-114
New York, NY 10065
Telephone: (646) 962-3475
Fax: (212) 746-5981
student-accounting@med.cornell.edu