Hillcrest High School

Medical Release Forms Needed for Medications at Hillcrest High School

3510F1 MEDICATION RELEASE AND REQUEST

3510F2 AUTHORIZATION FOR SELF-ADMINISTRATION

3510F3 INDEMNIFICATION-HOLD HARMLESS AGREEMENT 

Please note: 3510F1 is the form that the DOCTOR fills out.

These forms need to be turned in ASAP to the Secretary.

Questions?

Email Valerie Witte, Secretary