Get the free Mini-Clinic Registration Form-2014doc - grandview cherrycreekschools

$35.00 Early Registration (before 10/4/14). $40. 00 Walking Registration 25% discount for siblings registering at the same time before Oct 4th! ($30 per child) Grandview High School Fall Spirit MiniClinic

How to fill out mini-clinic registration form-2014doc

How to fill out the mini-clinic registration form-2014doc:

1. Start by writing your personal information in the designated fields. This includes your full name, date of birth, gender, and contact details such as phone number and email address.
2. Next, provide your address information. Fill in your current residential address, including the street name, city, state, and zip code.
3. In the following section, you may be asked to provide emergency contact information. Fill in the name, phone number, and relationship of the person you would like to be contacted in case of an emergency.
4. If applicable, indicate any medical conditions or allergies you have. This is important information for the clinic to be aware of in case of any medical emergencies or when prescribing treatments.
5. The form may also ask for your insurance information. Fill in the details of your insurance provider, policy number, and any additional information required.
6. If you have any specific preferences or requests related to your clinic visit, include them in the relevant section. For example, if you prefer a particular healthcare provider or have any scheduling constraints, mention them here.

Who needs the mini-clinic registration form-2014doc:

1. Individuals seeking medical services at the mini-clinic are required to fill out the registration form. Whether you are a new or existing patient, completing this form ensures that the clinic has updated and accurate information about you.
2. The form is necessary for both adults and minors who are visiting the mini-clinic. Regardless of the age, providing the required information helps the clinic staff understand your healthcare needs better.
3. Patients who have not previously visited the mini-clinic or have not completed the registration form in the past are particularly requested to fill out the mini-clinic registration form-2014doc. This ensures that the clinic has all the necessary information to provide appropriate and efficient healthcare services to new patients.

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