Regional Alliance for Healthy Schools: Scarlett Forms

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Scarlett Forms

These forms are specific to Scarlett Middle School. Since they are PDF files they require Adobe Reader or another PDF viewing application to view and print.

2012-13 Scarlett Registration and Consent Forms (sms_forms.pdf, 322.0 kb, 02-10-2009)
	Read the Welcome Letter for registration requirements and review the Notice of Privacy Practices statements. Print pages 2-9. Complete each form and send the completed packet to school with your student or fax to 734-975-1636.

2012-13 Scarlett Registration and Consent Forms - En Español (http://www.med.umich.edu/i/him/Forms/OtherThanConsents/CHS/Packet-Pediatric_(Spanish).pdf, 11-12-2012)
	Lean la Carta de Bienvenida para cumplir con los requisitos de inscripción y revisen los documentos de Notificación sobre Políticas de Privacidad de UMHS. Impriman las página 2 a la 9, llenen los documentos y regrésenlos vía fax al 734-975-1636.

Sports Physical Exam Clearance and Consent Form (mhsaa_pe_form.pdf, 121.0 kb, 02-10-2009)
	Print the 2 page form. Complete each form and sign consent. Return the completed packet to school with your student or fax to 734-975-1636

Patient Rights and Responsibilities and After Hours Care (rights_and_after_hours_08.17.11.pdf, 152.0 kb, 02-10-2009)
	Here's what we can all count on, including our locations and contact numbers!

Notice of Privacy Practices (notice_of_privacy_practices_2010.pdf, 273.0 kb, 06-28-2010)
	For your review, here are the confidentiality and security practices of the University of Michigan and RAHS.

2012-13 Scarlet Middle School Adult Registration and Consent Forms (reg_packet-adult.pdf, 353.0 kb, 10-10-2012)
	Read the Welcome Letter for registration requirements and review the Notice of Privacy Practices statements. Print pages 2-9. Complete each form and return the completed packet by fax to 734-975-1636.

2012-13 Scarlet Middle School Adult Registration and Consent Forms - En Español (http://www.med.umich.edu/i/him/Forms/OtherThanConsents/CHS/Packet-Adult_(Spanish).pdf, 11-12-2012)
	Lean la Carta de Bienvenida para cumplir con los requisitos de inscripción y revisen los documentos de Notificación sobre Políticas de Privacidad de UMHS. Impriman las página 2 a la 9, llenen los documentos y regrésenlos vía fax al 734-975-1636.