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Complete Medical Forms

Complete Medical Forms

Special Power of Attorney for Authorization of Medical Care, Medication Information & Medical Department Patient Information

 

Print, have completed by appropriate individual, scan and email as an attachment to DMVA-Apply-MYCA.com:

Physical & Medical History Questionnaire

The Physical is to be completed by a medical provider. 

The Medical History Questionnaire is to be completed by parent/guardian. Applicant must also sign.