If your child has now or ever been diagnosed with a heart murmur or any type of heart condition or defect, please refer to and print the attached Medical Clearance form. We ask that you fill out your applicable information and have your child’s healthcare provider complete the remainder of the form. Prior to you child’s initial or recare (6 month check up) appointment, please have the completed form faxed to our office at 281-480-4935, or you can bring the form with you to your child’s initial or recare appointment.
Thank you