Consent/Registration Forms

In the state of Tennessee:

West, Middle and East TN Schools Districts:

West, Middle and East TN Consent/Registration Forms (English):

Elementary schools:

2019 2020 English Elementary EPSDT OPTOMETRY and FLUORIDE.pdf

2019 2020 English Elementary EPSDT and OPTOMETRY.pdf

2019 2020 English Elementary EPSDT and FLUORIDE.pdf

2019 2020 English Elementary EPSDT Only.pdf

Middle and High schools:

2019 2020 English Middle High EPSDT and OPTOMETRY.pdf

2019 2020 English Middle High EPSDT Only.pdf

 

 

West, Middle and East TN Consent/Registration Forms (En Español):

Elementary schools:

2019 2020 Spanish Elementary EPSDT OPTOMETRY and FLUORIDE.pdf

2019 2020 Spanish Elementary EPSDT and OPTOMETRY.pdf

2019 2020 Spanish Elementary EPSDT and FLUORIDE.pdf

2019 2020 Spanish Elementary EPSDT Only.pdf

Middle and High schools:

2019 2020 Spanish Middle High EPSDT and OPTOMETRY.pdf

2019 2020 Spanish Middle High EPSDT only.pdf

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