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DEB ACA FAMILY SCHOOL BASED HEALTH CLINIC FORT SUMNER SCHOOL BASED HEALTH CENTERPATIENT REGISTRATION AND CONSENT FOR SERVICES Patient Name (last, first, middle)Date of Biosocial Security Number FY
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Start by gathering all the necessary information, such as the student's personal details, contact information, and emergency contact information.
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Fill out the student's enrollment form, including their name, date of birth, address, and any other required information.
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Provide information about the student's previous education, such as the name of their previous school and any relevant academic records.
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Fill out the student's medical information, including any allergies or medical conditions that the school should be aware of.
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Provide information about the student's guardian or parent, including their name, contact details, and relationship to the student.
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Sign and date the form, indicating that all the information provided is accurate and complete.
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Submit the completed form to the DeBaca Family School based office for processing.
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Follow up with the school to ensure that the enrollment process has been completed and any additional steps have been taken, if necessary.

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Debaca family school based is a program that focuses on providing education and resources to families in the Debaca community.
All families with children attending schools in the Debaca area are required to file debaca family school based.
You can fill out the debaca family school based form online or submit a paper form to the school administration.
The purpose of debaca family school based is to ensure that families are connected with the resources and support needed to help their children succeed in school.
Information such as household income, number of children in the household, and any special needs or circumstances that may affect the child's education must be reported on debaca family school based.
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