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PARENT MEDICAL INFORMATION FORM STUDENT NAME: ___ GRADE 20222023___ TO BE COMPLETED ANNUALLY BY THE PARENT OR GUARDIAN Child's Name: ___ Birth Date: ___ Gender Identity (optional): ___ Sex at Birth:

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How to fill out eths health center registration

01

Visit the ETHS health center during operating hours

02

Ask for a registration form at the front desk

03

Fill out the form with accurate personal information

04

Submit the form back to the front desk staff

05

Wait for confirmation of registration

Who needs eths health center registration?

01

Students of ETHS (Evanston Township High School) who wish to utilize the health center services

02

Parents or guardians of students who want to ensure their child is registered for health services at the school

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What is eths health center registration?

Eths health center registration is the process of formally registering a health center with the appropriate regulatory agencies.

Who is required to file eths health center registration?

All health centers are required to file eths health center registration.

How to fill out eths health center registration?

Eths health center registration can typically be filled out online on the regulatory agency's website or submitted via mail.

What is the purpose of eths health center registration?

The purpose of eths health center registration is to ensure that health centers are properly licensed and in compliance with regulations.

What information must be reported on eths health center registration?

Information such as the name and address of the health center, types of services offered, and ownership details may need to be reported on eths health center registration.

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