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This document provides information about Watertown's School-Based Health and Dental Programs and includes an enrollment form for students, detailing services available and the enrollment process.
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How to fill out school-based healthdental program enrollment
How to fill out School-Based Health/Dental Program Enrollment Form
01
Obtain a School-Based Health/Dental Program Enrollment Form from the school or health department.
02
Fill in the student's personal information, including name, date of birth, and grade level.
03
Provide the parent's or guardian's contact information, including name, phone number, and email address.
04
Complete the medical history section, noting any allergies, current medications, or medical conditions.
05
Sign and date the form to authorize services and confirm that the information is accurate.
06
Submit the completed form to the designated school personnel or health office.
Who needs School-Based Health/Dental Program Enrollment Form?
01
Students who require access to health or dental services provided by the school.
02
Parents or guardians looking to enroll their child in the School-Based Health/Dental Program.
03
Schools that offer health and dental services to ensure proper documentation for each participating student.
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What is School-Based Health/Dental Program Enrollment Form?
The School-Based Health/Dental Program Enrollment Form is a document that parents or guardians complete to register their child for health and dental services offered through school-based programs.
Who is required to file School-Based Health/Dental Program Enrollment Form?
Parents or guardians of students who wish to participate in school-based health and dental programs are required to file the enrollment form.
How to fill out School-Based Health/Dental Program Enrollment Form?
To fill out the form, provide accurate information regarding the student's personal details, medical history, insurance information, and any consent required for treatment.
What is the purpose of School-Based Health/Dental Program Enrollment Form?
The purpose of the enrollment form is to collect necessary information to ensure that students have access to health and dental services and to facilitate proper care.
What information must be reported on School-Based Health/Dental Program Enrollment Form?
The form typically requires the child's name, date of birth, address, parent or guardian contact information, insurance details, medical history, allergies, and consent for treatment.
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