This form must be completed annually for students to receive services or treatments. It is recommended that parents complete this at the beginning of the school year.
Schedule an Appointment
Please call the Erie County Community Health Center Centralized Scheduling office at 567-867-5174 to pre-register your or your child's appointment. Walk-in appointments are available.
Please bring a copy of the parent/guardian's photo ID (for minor children) and insurance card, if possible. It is not necessary for your to attend the appointment with your child if you are unable to.
For questions, please contact:
Pamela Roggeman, RN
Primary Care and Clinical Services Supervisor
419-626-5623 ext 5217