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THE SQUARISH TRIBE Wellness Center PO Box 1228 Squarish, WA 98392 PHONE 3603948558 FAX 3605981724CONSENT FOR RELEASE OF CONFIDENTIAL INFORMATION I, Date of Birth hereby authorize release of confidential
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To fill out the Suquamish Tribe Wellness Center form, follow these steps:
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Start by obtaining the form from the Wellness Center or accessing it online.
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Read the instructions carefully to understand what information is required.
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Begin by providing your personal details such as name, address, and contact information.
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Proceed to answer the specific questions regarding your health, medical history, and any existing conditions.
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If you have any allergies or medication requirements, make sure to mention them.
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Fill out the form accurately and truthfully, as this information will be used for your wellness assessment.
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Once completed, review the form to ensure all fields are filled correctly.
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Sign and date the form before submitting it to the designated person or office.
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Keep a copy of the filled-out form for your records.
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If you have any questions or need assistance, don't hesitate to contact the Wellness Center staff.

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The Suquamish Tribe Wellness Center is designed to meet the needs of individuals who require or desire access to comprehensive healthcare services.
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This center caters to the members of the Suquamish Tribe community, including tribal citizens and their immediate families.
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Additionally, the center may also serve individuals from other Native American tribes or non-tribal members who reside within the service area and seek quality healthcare.
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Anyone who values wellness and wants to maintain their physical, mental, and spiritual well-being can benefit from the services provided by the Suquamish Tribe Wellness Center.
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The Suquamish Tribe Wellness Center is a facility that provides healthcare services and promotes wellness for members of the Suquamish Tribe.
Members of the Suquamish Tribe who receive healthcare services from the Wellness Center are required to file relevant paperwork.
To fill out paperwork for the Suquamish Tribe Wellness Center, individuals must provide their personal information, health history, and any relevant insurance details.
The purpose of the Suquamish Tribe Wellness Center is to provide quality healthcare services and promote overall wellness for tribal members.
Information that must be reported on the Suquamish Tribe Wellness Center includes medical history, current health concerns, and any insurance information.
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