Recipient Participation Forms

Thanks for your help in coordinating your students' visit to our clinic. Prior to their visit, please be sure to download the following two forms to be completed by each patient's parent or guardian. These forms must be completed prior to their attending our clinic. Parent or Guardian Consent Form: English Language Spanish Language French Language Polish Language Arabic Language Traditional Chinese Language Simplified Chinese Laguage Parent or Guardian Letter: English Language Spanish Language French Language Traditional Chinese Language Simplified Chinese Laguage HIPPA Forms: English Language Spanish Language