Student Forms

Over the summer, each student will receive several medical and other forms to be completed by the indicated deadline. Medical forms include Medical Insurance Coverage, Medical History (including immunizations), and Authorization for Consent to Medical Treatment. The Consent to Medical Treatment form gives authority to Andover ABC, the RD, and host families, to obtain medical treatment for the student while she is living in Andover. These forms are distributed to the host families. The above medical forms must be signed and mailed back, or delivered in person, before the start of the school year. Andover High School also requires medical forms, which must be returned before the first day of school

You may download and print any of the needed forms. These can be mailed to:

Andover A Better Chance
PO Box 212
Andover, MA 01810

Completed form can also be scanned and sent as an email attachment to info@Andoverabc.org

Please contact ABC if you have any questions.

• Consent to Medical Treatment Authorization

• Insurance Information and Emergency Contact

• Travel Permission

• Photo Authorization

• Scholarship Renewal