Hands On Healthcare Request

Your window to higher education in healthcare starts here!

During Hands On Healthcare events, we would like to be able to include your students in photographs taken that day. Events taking place on the Bellin College campus require a separate consent. Please make sure all parents/guardians of your participants fill out the correct consent form. These forms can be turned in to a member of the Hands On Healthcare staff on the day of your event.

Consent to Photograph – Mobile Event  Parent/Guardian Release – Bellin College Campus

The Hands On Healthcare experience is here and ready to serve you. Please fill out the form below to request a visit. At this time, mobile visits are limited to schools located within 75 miles of Green Bay.

You should receive a confirmation email once you submit. If you have already completed the form, but have not heard back, please call (920) 433-6654.

View available dates at the bottom of the request form.

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