Health-e Kids

The following forms are available for our clients:

Online Forms:

Parent or Guardian Consent / Waiver Registration Form – You can fill in the form online and email the form to Health-e Kids, Inc.

Downloadable Forms:

Consent for Child’s Flu Vaccine Form (PDF Document)

Consent for Child Immunization Form (PDF Document)

Medical History Form (PDF Document, 2.4 MB)

Parent or Guardian Consent / Waiver Registration Form (Downloadable PDF form)

Administrative Forms:

Notice of Privacy Practices by Health-e Kids, Inc. (PDF Document)