2020-2021 Health Card- Washington
This Health Information Exchange Consent Form must be filled out and submitted every year to our school Health Office. If your child/children have specific health or medical needs, or if you may have any health questions or concerns, please contact Mrs. Cutting our School Nurse at: acutting@sandi.net 

Este Formulario de consentimiento para el intercambio de información médica se debe completar y enviar cada año a la Oficina de Salud de nuestra escuela. Si su hijo/a o hijos/as tienen necesidades médicas o de salud específicas, o si tiene alguna pregunta o inquietud sobre la salud, comuníquese con la Sra. Cutting, nuestra enfermera escolar, al: acutting@sandi.net

Sign in to Google to save your progress. Learn more
HEALTH INFORMATION EXCHANGE CONSENT FORM - ENGLISH  Download, fill out and send to: acutting@sandi.net *
CONSENTIMIENTO DE INTERCAMBIO DE INFORMACIÓN DE SALUD - ESPANOL Descargue, complete y envíe a acutting@sandi.net *
Submit
Clear form
This form was created inside of San Diego Unified School District.

Does this form look suspicious? Report