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KU Wichita Medical Practice Association

KUSM-W > MPA > Student Health Services > Forms

Forms

Immunizations form
TB Questionnaire
Release of Medical Information From KU Form
Release of Medical Information To KU Form

Last modified: Oct 17, 2018
Student Health Services

For Appointments
316-293-1818

For Billing
316-293-3429

Clinic Hours
Monday - Friday
8 a.m. - 5 p.m.

Patient Portal and Smartphone App

These services let you message your clinic, check test results, and view upcoming appointments and past clinical summaries. Access through our secure site.

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