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BLUE MOUNTAIN SCHOOL DISTRICT ELEMENTARY SCHOOL HEALTH FORM Child's Name: Date of Birth: Does your child have a history of the following conditions? If so, please explain type of medical treatment.
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What is your child will receive?
Your child will receive benefits or financial assistance.
Who is required to file your child will receive?
Parents or legal guardians of the child are required to file for the benefits.
How to fill out your child will receive?
You can fill out the necessary forms and provide the required documentation to apply for the benefits.
What is the purpose of your child will receive?
The purpose of your child receiving benefits is to help support their well-being and development.
What information must be reported on your child will receive?
You must report the child's personal information, household income, and any other relevant details.
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