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.

  • 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.

  • 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.

  • 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 Stystem of Georgia's health insurance options for students.

Medical Resources

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