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Healthy Kids Clinic Toll Free: 8444350900 FLU SHOT CONSENT FORM *Only Complete If You Wish For Your Student To Receive An Influenza Vaccine* A District Wide All Call Will Be Sent Out To Parents Notifying
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Visit the healthy kids clinic website
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Click on the 'Fill out Form' button
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Carefully read the instructions and provide all the required information
04
Fill out personal details such as name, address, contact information
05
Provide information about the child's medical history, allergies, and any specific health concerns
06
Answer any additional questions or provide any additional information requested
07
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Who needs healthy kids clinic?

01
Any parent or guardian with children requiring medical care
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Children who need regular check-ups, vaccinations, or specific medical treatments
03
Families who are looking for affordable and accessible healthcare for their children
04
Children with chronic illnesses or special needs
05
Children who have recently moved to a new area and need a new healthcare provider
06
Children who are uninsured or underinsured
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Healthy Kids Clinic is a healthcare initiative focused on providing medical services and preventive care for children to promote their overall health and well-being.
Parents or legal guardians of children eligible for the Healthy Kids Clinic program are required to file for their children to receive the necessary healthcare services.
To fill out the Healthy Kids Clinic application, parents or guardians need to complete the required forms accurately, provide necessary documentation of income and residency, and submit them through the designated channels.
The purpose of Healthy Kids Clinic is to ensure that children receive accessible healthcare services, including check-ups, vaccinations, and health education, to prevent health issues and promote healthy growth.
Information that must be reported includes the child's personal details, family income, residency status, and any existing health conditions or previous medical history.
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