Forms

Release of records

Authorization Release Medical Records
Email a request for medical records to StudentHealthService@wusm.wustl.edu
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

Health History

Physical Exam

Immunity History

Students can email these forms to StudentHealthService@wusm.wustl.edu or to Betty Feagans at feagansb@wustl.edu.