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Lana Wellness Center
Parent/Guardian Consent Form
School Year 201
201213
Please sign and return this form to the main office at Lana High School
Attn: Wellness Center or fax it to (910) 7909996
Dear
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How to fill out Laney Wellness Center:
01
Start by visiting the Laney Wellness Center's website or going to the physical location.
02
Fill out any necessary personal information such as name, contact details, and student or employee ID number.
03
Provide information about any existing medical conditions or allergies to ensure proper care and support.
04
Indicate your preferred primary care physician or medical provider if applicable.
05
If you are a student, provide information about your health insurance coverage, including policy number and insurance provider.
06
If you are an employee, make sure to provide information about your employer's health insurance coverage if applicable.
07
Specify any medications you are currently taking or if you have any known allergies to medications.
08
If you have any specific health concerns or goals, include them in the appropriate section on the form.
09
Finally, review all the information provided for accuracy and completeness before submitting the form.
Who needs Laney Wellness Center:
01
Students at Laney College who require medical or mental health services.
02
Faculty and staff at Laney College who need access to healthcare resources.
03
Individuals who may have specific health concerns or goals and would benefit from the services offered at the Laney Wellness Center.
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What is laney wellness center?
Laney Wellness Center is a health and wellness facility located on the Laney College campus.
Who is required to file laney wellness center?
All students, faculty, and staff at Laney College are required to utilize the services provided by the Laney Wellness Center.
How to fill out laney wellness center?
To fill out Laney Wellness Center forms, individuals must visit the center in person and provide their personal information.
What is the purpose of laney wellness center?
The purpose of Laney Wellness Center is to promote health and well-being among the Laney College community.
What information must be reported on laney wellness center?
Information such as medical history, current health status, and any specific health needs must be reported on Laney Wellness Center forms.
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