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Rev. 08/2012-Page 1 of 2 EASTERN SHORE RURAL HEALTH SYSTEM, INC. PATIENT REGISTRATION / CONSENT Print changes on each line and initial last line of this section PATIENT INFORMATION Patient Name Social
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Reg English - ESRH stands for Regular English Language Enhancement Program.
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The purpose of the Reg English - ESRH program is to help students enhance their English language skills for academic or personal growth.
The information that must be reported on the Reg English - ESRH program includes personal details, English language proficiency level, and reason for enrolling in the program.
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