Dear Parent/Guardian,

Please complete the information on this form and provide your electronic signature as requested. It is important that the school have up-to-date information to meet the needs of your child in the event of an emergency. All information will be kept confidential according to Massachusetts State Law. If you have any questions, feel free to call the health office at 508-634-1589. This form will be sent directly to the Nurse at Miscoe Hill School.