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USD 457 HEALTH SERVICES Student Name Birthdate Parents Address School Grade Teacher VISION SCREENING TEST DATE: SCREENING: WITH GL/CONTACTS NEAR VISION ACUITY: RT. EYE 20/ LT. EYE 20/ WITHOUT GL/CONTACTS
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How to fill out USD 457 health services:

01
Start by visiting the official website of USD 457 health services.
02
Look for the section or page that provides information and forms related to enrollment or registration.
03
Read the instructions carefully to understand the requirements and procedures.
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Download the necessary forms or fill them out online, if available.
05
Provide accurate and complete information in the fields required, such as personal details, contact information, and medical history.
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Make sure to attach any required documents or proofs, such as identification cards, insurance information, or medical records.
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If online submission is not available, print the completed forms and submit them in person or via mail to the designated address or office mentioned in the instructions.
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After the forms are submitted, keep a copy for your own records and note down any confirmation or reference numbers for future correspondence.

Who needs USD 457 health services?

01
Employees of USD 457 - USD 457 health services are typically available to all employees who work within the USD 457 school district.
02
Dependents of employees - The health services may also extend coverage to the dependents of employees, such as spouses and children.
03
Retirees - In some cases, retirees who were previously employed by USD 457 may also be eligible for certain health services.
04
Specific eligibility criteria - The exact eligibility requirements may vary, so it is best to refer to the official information provided by USD 457 or contact their health services department for more details.
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USD 457 health services refer to the health services provided by Unified School District 457.
All employees of USD 457 are required to file for the health services.
To fill out USD 457 health services, employees need to complete the health forms provided by the school district.
The purpose of USD 457 health services is to ensure that all employees have access to necessary health services and resources.
Information such as medical history, insurance details, emergency contacts, and any specific health needs must be reported on USD 457 health services.
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