The U | StFXSU - myvirtualdoctor - Opt-Out Form

Virtual Health Care is always available! myvirtualdoctor is your virtual health care service providing eligible students unlimited 24/7 access to licensed health experts, including nurse practitioners and doctors.

myvirtualdoctor Opt-Out Application

Winter deadline to submit applications
January 30^th, 2024

Students may apply to opt-out of myvirtualdoctor based on their personal choice by the applicable deadline. The deadline to opt-out in the fall term is September 30^th and in the winter term is January 30^th. Once you opt-out you will not be able to re-enroll in the program until the next academic year.

Important notes:

The student is given one (1) opportunity to opt-out of myvirtualdoctor each year. The student is only able to opt-out during their initial opt-out period or base on their program start date. The deadline to opt-out in the fall term is September 30^th and in the winter term is January 30^th.
Approval of the Student’s opt-out will result in the myvirtualdoctor fee being credited to the student account according to the school's policy.
The myvirtualdoctor opt-out is an annual opt-out. You will be re-enrolled in the next academic year and if you wish to opt-out again you will need to complete a new online form prior to the applicable deadline.
NO EXCEPTIONS will be made if the deadline is missed. It is the student's responsibility to pay the plan's mandatory fees, should they miss the applicable opt-out deadline.
Once you complete the opt-out form, you will receive an automated email confirmation. Please keep this email for your records as it is your only proof of submitting an opt-out request.

Add donotreply@gallivan.ca to your address book. Please do not reply to this email.

Questions? Please contact your Benefit Plan Office: stfxplan@mystudentplan.ca

myvirtualdoctor Opt-Out Form

Student Information

Student ID Number

Email Address

Confirm Email Address

First Name

Last Name

Date of Birth

Date Month Field Date Day Field Date Year Field

Postal Code

Phone Number

Phone Area Number Phone Local Number Phone Digits

Required Direct Deposit Information

Please enter your financial institution's Transit Number, Institution Number, and Account Number. (*mandatory fields)

** Please do not enter any dashes or spaces **

Transit #

Transit # must be at least 5 digits long * Required

Institution #

Institution # must be at least 3 digits long * Required

Account #

Account # must be numeric * Required

STFXSU Benefits Plan Office

Email: stfxplan@mystudentplan.ca
Address: 5555 Union Place
4th Floor Bloomfield Centre, Room 403
Antigonish, Nova Scotia. B2G 2W5

General Inquiries Line

Monday to Friday from 10:00am to 9:00pm AST

Phone: 1-877-746-5566 Ext. 7249

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