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UNIVERSITY OF TAMPA STUDENT HEALTH & COUNSELING CENTER TREATING PHYSICIAN OR LICENSED MENTAL HEALTH PROFESSIONALS ENROLLMENT QUESTIONNAIRE Instructions: This form is to be completed only by the treating
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Obtain a copy of the SHCC re-enrollment formdoc.
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Fill in your personal information such as name, address, contact number, and email address.
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Who needs shcc re-enrollment formdoc?

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Students who are currently enrolled in SHCC and need to re-enroll for the upcoming term.
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The SHCC re-enrollment formdoc is a document required for individuals or entities to update or confirm their enrollment status in the State Health Care Program, which is often necessary for continued eligibility or participation.
Individuals or organizations participating in the State Health Care Program who need to maintain their enrollment status are required to file the SHCC re-enrollment formdoc.
To fill out the SHCC re-enrollment formdoc, you need to provide accurate personal or organizational information, including identification numbers, contact information, and any required documentation as specified in the form's instructions.
The purpose of the SHCC re-enrollment formdoc is to ensure that all participating individuals and organizations are still eligible for the program and to maintain updated records within the health care system.
The SHCC re-enrollment formdoc typically requires personal identification details, contact information, proof of eligibility, and any changes in status since the last enrollment.
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