CNS Stimulant Cap Removal Request

CNS Stimulant Cap Removal Request

Student VIP utilizies a CNS Stimulant Cap to prevent misuse of medications. We request a physician's consent to lift CNS Stimulant Caps to ensure that those students who cannot live without these medications are covered up to their overall drug or extended health plan maximum(s).

Note that the student & physician will receive an e-mail once this request has been sent and again when it has been processed.

  • Student Information

  • Physician Information & Reason for Request