HEALTH SERVICES FORMS

 


 

Open | View | Print

 

adobePDFiconlargeState of Louisiana Health Information Form

 

adobePDFiconlarge State of Louisiana Authorization for Release of Confidential Information Form

 

adobePDFiconlargeState of Louisiana Medication Form

 

adobePDFiconlargeState of Louisiana School Entrance & General Health Exam Form / LHSAA Medical History Evaluation

 

 

Student Accident Insurance Information, Forms & Customer Service

 

The application and enrollment process is now handled online.

Schools may opt to print and distribute enrollment forms and/or allow parents to enroll online themselves.

The NPSB provider is Markel.

 

Markel Customer Service Information

Phone: 1-877-444-5014

E-mail: Markel.info@sevencorners.com

 


 

wwwIconMarkel Student Accident Insurance Website

 

wwwIconMarkel Student Accident Insurance ONLINE Application

 

Program Specifics

To view the K-12 Brochure, please click here:  K-12 Brochure

 

To download a claim form, please click here:  Claim Form
PARA INFORMACION HAGA CLICK AQUI:  K-12 En Español

 

Frequently Asked Questions: FAQ's

 

 

 

 

 


 

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