Academic HealthPlans
Student Login
Welcome to West Texas A&M University- Intl
West Texas A&M University
Student Registration Form
International Students Only
Waiver Account Creation
This form will create your waiver system account which can be used again in subsequent semesters. Completing this form will NOT submit a waiver request.
Student information
First Name
*
Middle Name
Last Name
*
Student ID#
*
Gender
*
-- Select --
Male
Female
X - Non-Binary
Birth Date (mmddyyy)
*
Address
Address
City
Zip
State
-- Select --
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AS
DC
FM
GU
MH
MP
PW
PR
VI
Contact Information
School Email
*
Personal Email
ParentAlternate Email
Student Home or Cell Phone
*
Your waiver submission has NOT been completed
Click the 'REGISTER' button below to be taken to the Student Dashboard. Next select the WAIVE button under the "I Already Have Insurance." section. Then you will be able to enter your waiver information and submit your waiver request.
Set Your Password
Password
*
Confirm Password
Sign up for Waiver Status messages. You will receive a text message whenever there is a status change on your waiver submission(s).
Signup for Texts:
Mobile Number
*
:
West Texas A&M University