HealthSource of Ohio

We are proud to offer this opportunity to the Williamsburg Local Schools community! Students and community members can access medical care at the clinic on site at Williamsburg High School. Please complete the form below for each of your students. You can type directly on to these documents or print and sign them. Completed forms can be emailed to, sent in with your students, or faxed to 513.436.0470.

Click here to download the form.
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