Medical Information Release Form

Use this link to access and print the form: https://drive.google.com/file/d/1K1yomtUyHE2IE7C9qzxigHGnSynPbash/view?usp=sharing or hover over the form, then click on the small box containing an arrow in the upper right corner. Either method will open the form for printing.

Release of medical info updated 9.27.21.pdf