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Health Services Forms and Documents

Welcome. If there is a form you do not see on this list, please contact Rene Ayon, Director of Student Services, at 661-720-4113.

Authorization for any Medication (English)

Authorization Medication 10-2023-English.pdf 139.05 KB (Last Modified on October 9, 2023)

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Authorization for any Medication (Spanish)

Authorization Medication 10-2023 Spanish .pdf 140.13 KB (Last Modified on October 9, 2023)

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Declaratcion Medica Para Solicitar Comidas Especiales O Adaptaciones

Declaracion-Medica-Para-Solicitar-Comidas-Especiales-o-Adaptaciones.pdf 384.17 KB (Last Modified on October 9, 2023)

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Medical Statement to Request Special Meals and/or Accommodations (English)

CNP-925 Medical Statement.pdf 147.5 KB (Last Modified on October 9, 2023)

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Student Accident Form

ACCIDENT REPORT FILLABLE.pdf 195.61 KB (Last Modified on April 9, 2018)

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