Forms

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Metro Care Connection - Forms

In order to receive medical care at one of the school-based health centers, students under the age of 18 must have a completed consent form signed by a parent/guardian.

Consent Form

MCC Referral Form (waiting for update)

Sports Physical Paperwork

Cover Letter for Sport Physical Exams

Consent Form

Preparticipation Physical Form

School Physical Form

Below are some of the various forms Metro Care Connection may ask you to complete prior to your visit.

Health Status Form

Immunization Index Card

Immunization Screening Questionnaire Form

Influenza 2012-13 Letter

Influenza Vaccine 20142015 consent form

Medical History Form

Preparticipation Physical Evaluation Form

Links

Click below for the most up to date vaccine information sheets. 
Vaccination Information Statements (VIS)