Forms
Release of records
Email a request for medical records to StudentHealthService@wusm.wustl.edu
Individual Authorization for WUSM Student Health
3rd Party Authorization for ROI-Student Health Services
MO AUTHORIZED RELATIVE CERTIFICATION – WUSM Student Health (002)
MO 3rd Party Authorization for ROI
Request FREE images from Barnes-Jewish Radiology
Benefits
SHS Benefits Dependent Enrollment
SHS Benefits Dependent Verification Affidavit
SHS Benefits Domestic Partner Verification
Incoming student paperwork
Students can email these forms to StudentHealthService@wusm.wustl.edu or to Betty Feagans at feagansb@wustl.edu.