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HOUSE PAGE PROGRAM HEALTH FORM To be completed by parent or legal guardian of the participant. Please print. Date: March 13, 2017, Participants Name: Parent or Guardians Name: Date of Birth: MonthDayYear

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How to fill out house page program health

01

Go to the house page program health website

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Click on the 'Fill Out' button

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Enter your personal information such as name, address, and contact details

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Provide details about your health conditions and any medications you are currently taking

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Answer any additional questions or provide required documentation as instructed

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Who needs house page program health?

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Individuals who are looking for a comprehensive health program for their homes

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Families who want to have easy access to health-related resources and support

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Homeowners or renters who want to take proactive steps in managing their overall health

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Individuals who have specific health concerns or conditions that require monitoring and assistance

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