• Important Clinic Forms


    Please return all signed forms to the front desk of the clinic.


    • Consent Packet
      • The consent packet is a crucial document for the enhancement of your child’s healthcare. Without this document the clinic will only be able to provide emergency clinical services.
      • School Clinic Consent Packet 2023


    • Designation of Health Care Surrogate for Minor
      • For immunizations or routine medical/dental non-emergency care (including ordinary immunizations, blood testing, TB testing, well-childcare, and ordinary and necessary examination and treatment) which do not require surgery, general anesthesia, psychotropic medicines, or any other extraordinary procedures.
      • Designation of Health Care Surrogate for Minor


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