Southern Polytechnic Students
Medical Reimbursement Form
Student ID: _______________________________
All students are given a maximum of $100 per semester for use at Wellstar Powers Ferry Urgent Care. It only applies during the semester you are enrolled. You must be bring your receipt, ID, and medical reimbursement form to the Nurse’s office in the Recreation and Wellness Center. Online students and Georgia Highlands students are not eligible for the $100 health credit.