Below you will find a link to our on-line consent form. This form needs to be completed by a parent or guardian and submitted prior to your child's visit. Please call us at 866-916-6447 if you have any questions or need help completing this form.
Completed and signed forms can either be submitted to your child's school nurse or mailed directly to us at:
6097 Easton Road
Pipersville, PA 18947