Admission Documents Submission

Child's Name *

First Name Last Name

Parent's Name *

First Name Last Name

E-mail *

example@example.com

Upload File(s) - Screen shots from portals NOT accepted *

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Required Documents to upload (screen shots from patient portals will not be accepted):

Most current copy of child's immunization records
Signed copy of Health Care Professional's Statement
Signed copy of child's hearing & vision screening (if child is 4 or older by September 1, 2022)
Food Allergy & Anaphylaxis Emergency Care Plan (if needed)

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