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REQUEST FOR IMMUNIZATION CERTIFICATE FROM SCHOOL-BASED CLINICS TODAY S DATE Parent Name/Nombre del Padre y/o Madre Child Name/Nombre del Nino Child s Date of Birth/Fecha de Nacimiento del Nino Phone Number/numero del telefono Has your child been seen in this clinic before / Su hijo ha estado aqui antes Yes / Si Rev 6-2014. School-Based Clinics Procedure for Obtaining Immunization Certificate HealthFirst School-Based Clinics will be offering this service as described below. 1 Parent/guardian...
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Step 1: Obtain the necessary forms and documents from the school-based clinic.
02
Step 2: Provide personal information such as name, address, and contact details.
03
Step 3: Fill out the medical history section by providing details about any pre-existing conditions, allergies, or medications.
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Step 4: Answer questions related to the purpose of the visit or specific symptoms you may be experiencing.
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Step 5: If applicable, provide insurance or payment information.
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Step 6: Review and verify all the information filled out in the form before submitting it.
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Step 7: Submit the completed form to the designated personnel at the school-based clinic.

Who needs school-based clinics?

01
Students: School-based clinics primarily serve students, providing them with accessible healthcare services within the school premises.
02
Parents or guardians: Parents or guardians of students may benefit from school-based clinics as they provide convenience and peace of mind regarding their child's health.
03
School staff: School-based clinics also cater to the healthcare needs of teachers, administrators, and other school staff, ensuring their well-being and easy access to medical resources.
04
Community members: In some cases, school-based clinics extend their services to the broader community, offering healthcare facilities to individuals who may not have easy access to medical care elsewhere.
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School-based clinics are healthcare facilities located within or near a school that provide medical services to students during school hours.
School administrators or healthcare providers operating the school-based clinic are required to file information about the clinic.
To fill out information about school-based clinics, providers need to report on services offered, number of visits, demographics of patients, and any outcomes or improvements.
The purpose of school-based clinics is to improve access to healthcare for students, promote preventive care, and address health disparities.
Information to be reported on school-based clinics includes services offered, number of visits, demographics of patients, and any outcomes or improvements.
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