Student Forms

Click on the links below or in the left navigation to learn more about each of these forms.

• Outside Physician Injury Referral Form (PDF)
• Release of Medical Records
  • KUSM FERPA 
  • Health Insurance Portability & Accountability Act (HIPPA)
  • Release of Medical Information (from KU to outside provider)
  • Release of Medical Information (from outside provider to KU)
• Pre-Participation Forms
  • Secondary Insurance Policy Exemption and Release Form
  • Mental Health Form
  • Letter of Responsibility for Athletic Related Bills
  • ADHD/ADD Evaluation & Compliance 
  • Sickle Cell Requirements
  • Insurance Information Form