Forms and Links

Medical Records Release Documents

All requests for medical records, including legal inquiries, must be addressed to WellStar KSU Student Health Services as of April 1, 2014, and will be processed by CIOXX records services.

• KSU Medical Records Release Form (visits before April 1, 2014)

  Complete this medical records release request for Student Health Services visits prior to April 1, 2014. The form can be hand delivered to any Student Health Services clinic or faxed to 470-578-9332.

• Records Release from Wellstar Student Health Services (visits after April 1, 2014)

  Complete this Wellstar medical records release request for Student Health Services visits after April 1, 2014. The form can be hand delivered to any Student Health Services clinic or faxed to 470-578-9332.

• Records Release to Wellstar Student Health Services

  Request that your primary care or other physician release your health records to Wellstar Student Health Services.

• Immunizations Records Release Form

  Request a copy of immunization records submitted to KSU as part of the enrollment process. 

Student Health Insurance Plan (SHIP) Forms

• Student Health Insurance Plan (SHIP) Enrollment and Information
  Visit the registrar's website to learn more about the University Stystem of Georgia's health insurance options for students.

Medical Resources

• CDC Travel Website

  Please visit the Centers for Disease Control and Prevention (CDC) travel website to determine immunizations needed for travel outside of the country. 

• Immunizations Information

  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. Review KSU's immunization requirements.