Family Planning Only Services



To ensure the application process is as smooth as possible, please use the following checklist as a guideline. Before you get started you will need:

  1. Access to printer
  2. Proof of Identity 
    • Driver's license/ student ID card
  3. Proof of Citizenship
    • Copy of birth certificate or passport (if not born in Wisconsin)
  4. Income verification
    • Check stubs for 30 days prior to application
    • Financial Account Activity for current term (ex. Fall 2014)
**** Please bring ALL documents with you to your appointment to prevent the delay of processing your application****

HOW TO APPLY:                                          

  1. Click on "Apply for Benefits"
  2. You will be required to create a Wisconsin User ID and password to access your account.
  3. Provide the necessary information as required by the application.
  4. Upon submission of your application you will be directed to a confirmation page where you will receive a ten-digit tracking number. VERY IMPORTANT: In order to receive services covered under the Family Planning Only Services Program at Student Health Service, you MUST print and turn in a copy of this page to our office.

Failure to provide above documents results in ineligibility for services and you will incur the charges for services rendered - cost of services range from $20.00 - $250.00 (subject to change).

For information on completing the application, please follow this link or contact Kristi King, Insurance and Billing, @ 715/232-5148.