Instructions: Save the forms to your computer, fill them out, save them, and attach in an e-mail to dfritz@srhc.com.

• World Class Service

• Student application

• Confidentiality Release

• Health Record Verification

• HIPAA Security Powerpoint

• HIPAA security test

• Safety Powerpoint

• Student Safety Test

For questions on this paperwork, please contact:

Darlene Fritz
Staff Development Coordinator
Salina Regional Health Center
Phone: 785-452-7868
Fax: 785-452-7700
E-mail: dfritz@srhc.com