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  • Mcps Form 525-12

Get Mcps Form 525-12

Montgomery County Public Schools Montgomery County department of health and human services Rockville, Maryland 20850 Authorization to provide medically prescribed treatment Release and Indemnification.

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How to fill out the MCPS Form 525-12 online

This guide provides a comprehensive overview of how to complete the MCPS Form 525-12 online. By following these step-by-step instructions, users can ensure that all necessary information is accurately entered and submitted efficiently.

Follow the steps to complete the MCPS Form 525-12 online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin with Part I, which is to be completed by the parent or guardian. Enter the student's name, birthdate, and school name in the designated fields.
  3. Proceed to Part II, which needs to be filled out by the physician. Here, enter the student's name, diagnosis, and prescribed treatment details.
  4. Complete the section on possible complications, any equipment needed for the treatment, and observations that need to be reported.
  5. In Part III, ensure the principal and school community health nurse complete their sections and sign where required. Confirm that all signatures are present.
  6. Once all sections are completed, review all information for accuracy.

Complete your MCPS Form 525-12 online today to ensure timely processing of your request for medically prescribed treatment.

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Proof of residency must be submitted with all applications. Examples of Acceptable Proof: Current Montgomery County Property tax bill or current rental lease. Also submit current utility bill showing name and address. Student now residing in Montgomery County without parents and is requesting a waiver of tuition.

Proof of Residence If you own your home, you will need to provide one (1) of the following: Deed (all pages with all signatures) with 1 current utility bill. Settlement Papers (with all signatures) with 1 current utility bill.

Proof of Residency: Homeowners: A copy of a current property tax bill, or if the property was recently bought, a copy of the Closing Disclosure. Renters: If renter, a copy of a current lease. If the original term of the lease has expired, a copy of a current utility bill, or a lease extension should be provided.

Generally accepted documents are: current rental lease; current utility bills containing applicant's name and address; or a current property tax bill.

(Address and telephone number changes must be made via the Employee Self-Service (ESS) web page. Complete this form, sign, and return it to the Employee and Retiree Service Center (ERSC). You may fax the form to 301-279-3642/301-279-3651 or e-mail an electronically signed Adobe PDF file to ERSC@mcpsmd.org.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232