HealthSource of Ohio
We are proud to offer this opportunity to the Felicity-Franklin Local Schools community!
Students and community members can access medical care at the clinic on site at Felicity-Franklin Elementary School. Please complete the form below for each of your students. You can type directly on the form or print and sign it.
Completed forms can be emailed to sbhc.consent@hsohio.org
Click the link below to download the form.
HealthSource of Ohio School Based Health Center Consent Form