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Email info redemptionchristianacademy.org www.redemptionchristianacademy.org CONFIDENTIAL EMERGENCY HEALTH INFORMATION From the desk of the School Nurse Name First MI Birth date: Sex M × F ALERT
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Medical form - redemption is a form used to redeem medical expenses incurred by an individual.
Any individual who has incurred medical expenses and wishes to redeem them.
Medical form - redemption can be filled out by providing details of the medical expenses incurred.
The purpose of medical form - redemption is to claim reimbursement for medical expenses.
Information such as date of service, description of medical expense, and amount incurred must be reported on medical form - redemption.
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