PLEASE HAVE ALL DOCUMENTS AVAILABLE WHEN FILLING OUT THIS FORM. YOU CANNOT SAVE AND COME BACK.
You will need your Insurance Card, Doctor phone number and address, Emergency contact information.
If your child takes medication or has allergies you will need to print out a Medical Release Form and Allergy Action Plan and fill it out by hand. Your child's doctor will need to sign the form.
They will need to be signed by your Physician.