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THE UNIVERSITY of KANSAS
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Student Affairs
Watkins Health Services
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Immunization History Form
Health History Form
Authorization for Use/Disclosure of Information Form
Spouse/Domestic Partner Guarantor Form
Insurance Information Form
Advance Directives Forms
KU The University of Kansas KU The University of Kansas
Watkins Memorial Health Center
1200 Schwegler Drive
Lawrence, KS 66045
Bus Routes: 27, 42
whs-services@ku.edu
785-864-9500
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© 2025 The University of Kansas

The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression, and genetic information in the university's programs and activities. Retaliation is also prohibited by university policy. The following person has been designated to handle inquiries regarding the nondiscrimination policies and procedures and is the Title IX Coordinator for all KU and KUMC campuses: Associate Vice Chancellor for the Office of Civil Rights and Title IX, civilrights@ku.edu, Room 1082, Dole Human Development Center, 1000 Sunnyside Avenue, Lawrence, KS 66045, 785-864-6414, 711 TTY. Reports can be submitted by contacting the Title IX Coordinator as provided herein or using the Title IX online report form and complaints can be submitted with the Title IX Coordinator or using the Title IX online complaint form.

The University of Kansas is a public institution governed by the Kansas Board of Regents.