ICMF FORMS

Parents/Guardians seeking medical care assistance for their child must download these forms, carefully following instructions. Questions? Email: ICMFHope@Aol.Com

 

Instructions/Important Information

Your request for medical care begins here.

 

Medical Profile

Medical history is very important! Please do not ignore any question.

 

Temporary Power Of Attorney

This form is to be signed/notarized by parents/legal guardian of child.

 

Communicable Diseases

A form for the child's doctor.

 

Flying Information

A form for the child's doctor