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Iowa City Community School District

Iowa City Community School District

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Clinic Forms

Consent for Care & Release of Information (English)

Consent for Care & Release of Information (Spanish)

Consent for Care & Release of Information (French)

Consent for Care & Release of Information (Swahili)

Adult (18+) Consent for Care & Release of Information (English)

Adult (18+) Consent for Care & Release of Information (Spanish)

Health History (English)

Health History (Spanish)

Pre-Participation Sports Physical Exam Forms

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Contact Us

If you have questions or you would like to schedule an appointment, you can reach out to us by phone at (319) 631-3204 or by email.