Himmelfarb/Chai School Emergency & Medical Information Form 2018-2019
Welcome to the Himmelfarb/Chai School!

This form will not allow you to save in the middle and come back to it later, so please be sure you are able to complete the entire form now. You will want to make sure you have your child's insurance and medical information available.

The form will allow you to enter medical information for up to three children without needing to re-enter family or insurance information.

If you have any questions or trouble with the form, please contact Rina at 202-882-1605, x 305, or rina@tifereth-israel.org

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