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FMC Schooled Clinic Enrollment Form DEMOGRAPHIC INFORMATION ID#: First Name:Last Name:Middle Initial: Zip Code:Student\'s Address:Age:Student\'s Date of Birth:Sex:Ethnicity: Millrace:American Indian
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toolssbh4allorgwp-contentuploadsschool-based health clinic patient is a form used to document information about patients seen at school-based health clinics.
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Healthcare providers and staff at school-based health clinics are required to file toolssbh4allorgwp-contentuploadsschool-based health clinic patient.
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toolssbh4allorgwp-contentuploadsschool-based health clinic patient can be filled out by documenting patient information, services provided, and any other relevant data during the clinic visit.
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Information such as patient demographics, services provided, medications prescribed, and follow-up plans must be reported on toolssbh4allorgwp-contentuploadsschool-based health clinic patient.
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