Forms and Links

Medical Records Release Documents

  • For Student Health Services visits prior to April 1, 2014. The form can be hand delivered to any KSU WellStar Student Health Services location or faxed to 470-578-9332.
    FORM DOWNLOAD
  • For Student Health Services visits after April 1, 2014. The form can be hand delivered to any KSU WellStar Student Health Services location or faxed to 470-578-9332.
    FORM DOWNLOAD
  • Use this form request that your primary care or other physician provides your records to WellStar Student Health Services.
    FORM DOWNLOAD
  • Use this form to request a copy of immunization records submitted to KSU as part of the enrollment process. For additional information on KSU’s immunization requirements.
    FORM DOWNLOAD

Student Health Insurance Plan (SHIP) Forms

  • The University System of Georgia offers an affordable health insurance option for students enrolled at KSU. For a summary of the SHIP plan and eligibility requirements.
    READ MORE
  • Use this form to enroll in the SHIP program in conjunction with a Qualifying Life Event (QLE). This form is required when enrolling in current coverage period and open enrollment is closed. This form also has dates of coverage and the corresponding plan rates.
    FORM DOWNLOAD
  • Use this form if you have experienced a Qualifying Life Event (QLE) and wish to enroll in the SHIP plan for the remainder of the current coverage period. Examples of QLEs are a change in marital status, birth of a child, job loss or loss of coverage due to age.
    FORM DOWNLOAD

Medical Resources

  • Refer to the CDC (Centers for Disease Control and Prevention) travel website link to determine immunizations needed for travel out of the country.
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  • As a unit of the University System of Georgia, Kennesaw State University is required to adhere to the Board of Regents Guidelines regarding immunizations for school entrance. For additional information on KSU’s immunization requirements.
    READ MORE

 

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    8:30 AM – 5:00 PM


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  • Our Services

    Student Health Services provides comprehensive primary care on both the Kennesaw and Marietta campuses. Our clinical team is comprised of board certified physicians and advanced practice providers.
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  • Our Locations

    Student Health Services provides comprehensive primary care on both the Kennesaw and Marietta campuses. Our clinical team is comprised of board certified physicians and advanced practice providers.
    Learn More>
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