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CURTIS UNIVERSITY HOCKEY CLUB
Years 16 Junior Hockey Program 2018School Name:Term 1 Registration Orchids Name:
Child's Age/Year Group:
Parent/Carers Name:
Preferred contact details
(phone and email):
Child's
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How to fill out school clinic request form
How to fill out school clinic request form
01
Obtain the school clinic request form from your school's administrative office.
02
Read the instructions and requirements carefully.
03
Fill in the personal details section, including your name, contact information, and student ID.
04
Specify the reason for your visit to the school clinic and provide a brief description of your symptoms or medical condition.
05
If applicable, provide any relevant medical history or medication information.
06
Sign and date the form to indicate your agreement with the terms and conditions.
07
Submit the completed form to the school's clinic staff at the designated location.
Who needs school clinic request form?
01
Any student or parent/guardian of a student who requires medical attention or services from the school clinic needs to fill out the school clinic request form.
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What is school clinic request form?
The school clinic request form is a document used to request medical assistance or services at the school clinic.
Who is required to file school clinic request form?
Students, staff members, or parents/guardians may be required to file the school clinic request form depending on the school's policy.
How to fill out school clinic request form?
To fill out the school clinic request form, one must provide personal information, describe the medical issue or request, and sign the form if necessary.
What is the purpose of school clinic request form?
The purpose of the school clinic request form is to ensure that students and staff members receive timely and appropriate medical care while on school premises.
What information must be reported on school clinic request form?
Information such as the name of the individual requesting assistance, nature of the medical issue, contact information, and any relevant medical history must be reported on the school clinic request form.
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