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PRINTRESETDe Anna Student Health Services 21250 Stevens Creek Blvd. Cupertino, CA 95014 Phone: (408) 8648732 Fax: (408) 8648983AUTHORIZATION FOR RELEASE/DISCLOSE OF HEALTH INFORMATION Patient Information:
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Begin by accessing the De Anza College website.
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Navigate to the student section of the website.
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Fill out the required personal information, such as your name, address, and contact details.
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Provide information about your educational background, including high school and any previous college experience.
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De Anza College student refers to an individual who is currently enrolled at De Anza College in Cupertino, California.
All students who are attending De Anza College are required to file as De Anza College students.
To fill out the De Anza College student form, students must provide their personal information, course schedule, and any other relevant details requested by the college.
The De Anza College student form is used to track and verify the enrollment status of students at De Anza College for academic and administrative purposes.
Students must report their personal details, such as name, address, contact information, as well as their current course schedule and enrollment status.
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