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Required Forms

Required Screening Forms

 All Forms Below Must be Downloaded and Completed Before You Arrive to Your Scheduled Screening Time!

Consent, Release, Waiver Form  (MUST BE COMPLETED and SIGNED by PARENT)

PPE Forms (for Non-CCSD School Sanctioned Sports Activity Only | HISTORY SECTION MUST BE COMPLETED PRIOR TO ARRIVAL)

For CCSD School Sports and Activities -  Please obtain the CCSD Athletic Packet from your Child's school

 

All Forms are in PDF Format... Get the Free Adobe PDF Viewer Here: http://get.adobe.com/reader/

 

 

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What's Being Said?

Derek Sheely Foundation
2013-04-27, 08:49
Thank you for your continued support & for raising #concussion awareness; such important work you're doing!