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20132014 Pendleton School Based Health Center Student Registration ORM Please fill out FRONT and BACK of form Pendleton High School 1800 N.W. Garden Ave. Pendleton, OR 97801 5419663857 Sun ridge Middle
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How to fill out Pendleton School Based Health:

01
Obtain the necessary forms or application materials from the school or health center.
02
Read through all instructions provided to ensure you understand the requirements and information needed.
03
Begin by filling out personal information such as your name, date of birth, and contact details.
04
Provide information about your current school enrollment, including the name of the school and grade level.
05
Indicate any known medical conditions or allergies that should be taken into consideration.
06
If applicable, include insurance information or Medicaid information.
07
Provide emergency contact information and ensure that the individuals listed are aware of their roles as emergency contacts.
08
Sign and date the form or application as required.
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Submit the completed form to the designated school or health center personnel.

Who needs Pendleton School Based Health:

01
Students who attend the Pendleton School or have enrolled in a program affiliated with the school.
02
Students who require access to healthcare services while at school.
03
Students who may have medical conditions or allergies that require monitoring or treatment during school hours.
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Students who have limited or no access to healthcare services outside of the school setting.
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Students who may need assistance with health-related issues such as medications, vaccinations, or mental health support.
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Students who have parents or guardians who prefer a school-based healthcare option for their child's convenience and accessibility.
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Pendleton school based health provides healthcare services to students within the school setting.
School administrators or healthcare professionals responsible for providing services.
Fill out the required forms with accurate information about the services provided to students.
The purpose is to ensure students have access to healthcare services while at school.
Information such as the number of students served, types of services provided, and any referrals made.
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