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School Forms

Below are copies of our forms for the 2019-2020 school year. Participating schools receive copies of these at the beginning of the school year. If you need a copy, please click on the link, print the form and return to your school.

  1. Consent for services 2019-2020
  2. Notice of Privacy Practices
  3. Acknowledgement of Receipt of Privacy Practices
  4. Vaccination consent 2019-2020
  5. Flu vaccination consent 2019-2020
  6. Telemedicine Informed Consent 2019-2020 (Carter County, Kentucky, only)
  7. About the program