Medical Information 2


Medical Information

Child














TO ADD MORE STUDENTS: CLICK "Add another response" - FOUND JUST BELOW THE FIRST ENTRY
Authorization
I further authorize a representative of PAIDEIA CLASSICAL EDUCATION, a service of
Parent And Child Educational Services (PACES) to take my child for any emergency
medical treatment needed during school hours and I will be responsible for the charges
incurred.







Please Note: In order to complete this form, we will need a copy of your current insurance card(s) to keep on record.
Please scan the front and back and upload using the link above.  If you don't have access to a scanner, please bring your card(s) to the school and we will make a copy for you.

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