Enrollment Forms
Enrollment forms are included here as PDF forms for the convenience of agencies and case workers completing the student placement process at Penikese. There are 15 documents in all, including a checklist sheet. Upon recommendation of our Clinical Director, please download the forms, complete them and send by mail or fax (with coversheet) to:
Pam Brighton, Clinical Director
Penikese Island School
P.O. Box 161 Woods Hole, MA 02543
Tel: 508.548.7276, x 205
Fax: 508.457.9580
Student Agreement
Admissions Application Checklist
Admissions Application Form
Placement Agreement Contract
Case Worker Questionnaire
Records Release Authorization
Medication & Restraint Consent
Transportation & Activities Consent
Medical Clearance
Dental Clearance
Student Bill of Rights
Clothing List
Sample Weekend Pass Report
Publications, Media, Research Release
Meningitis Vaccine InformationDownload All as a zip file
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