Student Wellness Center

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Required Forms from Medical Packet

Student Health Insurance Waiver Form .doc | .pdf

Student Health Immunization Record .doc | .pdf

Student Health Medical Questionnaire .doc | .pdf

Vaccination Form for Meningitis & Hep B .doc | .pdf

 

Student Wellness Center Forms

Release of Information from Another Facility to Student Wellness Center .doc | .pdf

Release of Information from Student Wellness Center to Another Facility .doc | .pdf

 

Forms should be mailed to:
Student Wellness Center
400 East College Street
Georgetown, KY 40324

Documents about disabilities or special needs should be mailed to the Director of the Student Wellness Center at the same address.