May 4, 2026
Required Documents-Click this link to download
Each student must have their completed paperwork before stepping on the bus to see the provider. Please do not use PanCare Intake forms from previous years, as they have been updated.
Every required parent/guardian signature spot must be signed. The EL2 form has two sections requiring both the parent and student signatures (Pages 2 & 4).
If a student comes to the bus with any portion of the forms incomplete or missing a required parent/guardian signature, he/she may be asked to reschedule if appointments are still available. Students must have the original completed forms to present to the medical team on the bus.
Additionally, If copies are needed, the parent/guardian must complete the Authorization to Release Medical Information form (attached) and email it to MedicalRecords@PanCareFL.org. Once the completed authorization form is received, please allow up to 30 days for processing. Copies of requested forms will be sent via certified mail.