Click the name of the form you would like to download.
The Student Consent Form should be returned with all other forms before a student can be seen at the clinic.
El formulario de consentimiento del estudiante debe devolverse junto con todos los demás formularios antes de que un estudiante pueda ser atendido en la clínica.
The demographics form must be filled out for a student to be seen at the Lonoke Baptist Health Clinic.
The History Form requires a parent's signature for a student to be seen at the clinic.
The clinic screener should be filled out for each visit to the clinic. This allows the medical staff to gather information about current illnesses or concerns.
The COVID-19 Questionaire should be returned with all other forms before a student can be seen at the clinic.