Medical Records Release Documents

All requests for medical records, including legal inquiries, must be addressed to WellStar KSU Student Health Services and will be processed by CIOXX records services.

  • Complete this Wellstar medical records release request for Student Health Services visits. The form can be hand delivered to any Student Health Services clinic or faxed to 470-578-9332.
  • Request that your primary care or other physician release your health records to Wellstar Student Health Services.
  • Request a copy of immunization records submitted to KSU as part of the enrollment process. 

Student Health Insurance Plan (SHIP) Forms

  • Visit the registrar's website to learn more about the University System of Georgia's health insurance options for students.

Medical Resources