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SCHOOL BASED CLINIC 20122013 Childs Full Name: Date of Birth Age Address: City State Zip Phone Number: Physician School Building Grade Teacher (for 6th graders only) Insurance Status (circle one)
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What is school based clinic?
A school based clinic is a health center located within or on the grounds of a school that provides medical services to students.
Who is required to file school based clinic?
School administrators or healthcare providers managing the clinic are typically required to file reports on the school based clinic.
How to fill out school based clinic?
The school based clinic report can be filled out online or submitted in person, following the guidelines provided by the school district or healthcare organization.
What is the purpose of school based clinic?
The purpose of a school based clinic is to provide convenient access to healthcare services for students, promote wellness, and address medical needs during school hours.
What information must be reported on school based clinic?
Information to be reported may include the number of students served, types of services provided, health outcomes, and any referrals to outside healthcare providers.
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