Below are helpful forms for both families and clinics participating in this program. For more information or for assistance, please contact Lindsey or Jodi by calling 785-675-3018.

Participant Forms & Helpful Information

• Participant Flyer (English)
• Participant Flyer (Spanish)
• Step by Step Guide (English)
• Step by Step Guide (Spanish)
• Baseline Survey (English)
• Baseline Survey (Spanish)

Clinic Forms

• Initial Prescription
• Second Prescription
• Release of Information Form