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Forms

Privacy and Confidentiality (HIPPA) Form: All students and faculty spending time at Children's Hospital of Wisconsin must sign and date the confidentiality form (attachment to Exhibit A of program agreement). Since a signature is required, we cannot accept this form via e-mail. This form may be sent via mail or fax.

Hospital locations: Milwaukee and Fox Valley.

Children's Hospital of Wisconsin in Milwaukee, serving Wisconsin, Northern Illinois and
Michigan's Upper Peninsula and beyond through nationally-recognized programs.

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