As we prepare for the 2021-2022 school year, please help the Clinic collect all the necessary health and medical forms, including the following:
Consent to Treat, Authorization, and Release - This form was included with re-enrollment forms and is not needed again if already completed. It is due annually and can be completed online.
Medical Certificate Form - This form is due annually and requires a physician's signature. This form is only valid for 12 months from the date of the physician’s signature (i.e., If the pediatrician signs the form on July 1, 2021, then it will be valid until June 30, 2022). Please take this form with you to your child's well visit and return a scanned copy to the Clinic via email (firstname.lastname@example.org) or upload it to the SNAP Health Portal directly. The form can be downloaded online.
Additional forms will be requested in August, along with applicable medications (Medical Permission forms, Asthma and Allergy Action Plans). Medication drop-offs will be available at the Clinic in August during “Meet the Teacher” days.