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Dear Parents/Guardians: The School Based Health Centers offer quality medical and mental health care to children and adolescents in school. Enrollment is FREE and open to all AMS, LMS, ELMS, LHS,

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How to fill out ccs sbhc auburn enrollment

01

Obtain the CCS SBHC Auburn enrollment form.

02

Fill out the personal information section, including your name, date of birth, and contact information.

03

Provide information about your insurance coverage, including the name of your insurance provider and policy number.

04

Indicate any medical conditions or allergies you have.

05

Complete the emergency contact section, providing the names and contact information of individuals to be reached in case of an emergency.

06

Sign and date the form to acknowledge your consent and agreement.

07

Review the completed form for accuracy and make any necessary corrections.

08

Submit the enrollment form to the relevant CCS SBHC Auburn office or designated personnel.

09

Keep a copy of the completed form for your records.

Who needs ccs sbhc auburn enrollment?

01

CCS SBHC Auburn enrollment is required for individuals who wish to access the services provided by the CCS School-Based Health Center in Auburn. This includes students, parents, and guardians who want to receive medical care, counseling, or other healthcare services offered by the center.

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What is ccs sbhc auburn enrollment?

CCS SBHC Auburn enrollment refers to the enrollment process for students at the Auburn School-Based Health Center.

Who is required to file ccs sbhc auburn enrollment?

All students at the Auburn School-Based Health Center are required to file CCS SBHC Auburn enrollment.

How to fill out ccs sbhc auburn enrollment?

To fill out CCS SBHC Auburn enrollment, students must complete the required forms provided by the health center.

What is the purpose of ccs sbhc auburn enrollment?

The purpose of CCS SBHC Auburn enrollment is to ensure that students have access to the health services provided by the School-Based Health Center.

What information must be reported on ccs sbhc auburn enrollment?

CCS SBHC Auburn enrollment requires students to report their basic personal information, medical history, and insurance details.

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