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South Central Area Special Education Cooperative
600 Elm Street, Suite 2
Paoli, IN 47454
Phone: (812)723-2089 Fax: (812)723-4206
"Enrichment beyond the classroom"
Release of Medical Information Form
These forms can ONLY be completed by Teachers and Administrative Staff only to be valid.
Printable version of Release of Medical Information Form can be filled out and saved/printed and can either be e-mailed or faxed to Sherry at (812) 723-4206
Click on name of form to open
Any inquiries to any of the forms please contact us.
Contact: Sherry Elgins
E-mail: elgins@scasec.k12.in.us
Address: South Central Area Special Education Cooperative
600 Elm Street, Suite 2
Paoli, Indiana 47454
Phone: (812) 723-2089
Fax: (812) 723-4206
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