Get Uris Group

Filling out the Uris Group form is an essential step for applying for health care interventions and support for children. This guide provides clear and detailed instructions to help users navigate the form effectively and ensure all necessary information is provided.

Follow the steps to complete the Uris Group application.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by completing Section I, which includes community program information. Specify the type of community program (e.g., school, licensed child care) and provide the program's name, contact person, phone, fax, email, and the address where services will be delivered.
3. In Section II, fill out the child’s information. Start with the child's last name, first name, and birthdate. Include any other names the child is known by.
4. Check all applicable health care conditions for which the child requires an intervention during attendance at the community program. Answer yes or no to questions regarding administration of medications and specific health needs.
5. Complete Section III by authorizing the release of medical information. This section includes consent for exchanging health information with relevant parties. Ensure to include the child's name and the signature of the parent or legal guardian, along with the date.
6. After completing the necessary sections, review all information for accuracy. Once confirmed, save your changes. You may then download, print, or share the completed form as needed.

Start filling out the Uris Group form online today to ensure timely support for your child.