Kansas State University
1105 Sunset Avenue
Manhattan, KS 66502-3761
785-532-6544
lafene@k-state.edu
Disclaimer:
Users of the Lafene Health Center web site acknowledge their role and responsibility in seeking health care. Health information is provided on this web site as a reference, and is not intended to replace a visit to your doctor or other health care provider. Lafene Health Center is not responsible for information on web sites other than our own. The mention of a particular product or service does not constitute a recommendation or endorsement unless indicated. KSU students, for health care, see your Lafene healthcare provider. Medical care is not provided using e-mail.
Forms & Brochures
Medical records FAX
785.532.3425
Asthma action plan
Consent for treatment of minor
Follow-up health care brochure
Food record instructions
Food record forms
H1N1 resources
H1N1 flu: What you need to know—11”x17”
H1N1 flu: What you need to know—8.5”x14”
CDC: Cover your cough—poster formats available
Lafene services brochure
Lowdown on Lafene
FAQ about services
Medical history form request:
The Medical (Health) history form must be completed and signed by the student prior to the student receiving services. Students under the age of 18 must have parental permission to obtain health care at Lafene Health Center. This may be accomplished by signing the health history form. This form is available at New Student Orientation, at Lafene's front desk or can be mailed to you for your convenience. It is often easier (and highly recommended) to have this form on file at Lafene before the student is injured or ill.
To obtain the form by mail, send an e-mail to lafene@k-state.edu. Type Medical History Form Request in the subject area and be sure to include name and mailing address in the body of the message. Return the completed form to Lafene Health Center: Attention - H.I.M. (Health Information Management department).
