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Dayton Public Schools
Schooled Health Center Enrollment and Lifetime Consent Form(rev. 03.24)Dayton Public Schools (DPS) partners with many community agencies to offer Schooled Supplemental Health
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How to fill out dps school-based health center

How to fill out dps school-based health center
01
Obtain the necessary forms from the school-based health center or their website.
02
Fill out all personal information accurately, including name, address, date of birth, and contact information.
03
Provide any necessary medical history or insurance information.
04
Make sure to sign and date the form before submitting it to the health center.
Who needs dps school-based health center?
01
Students attending a DPS school who are in need of primary healthcare services.
02
Students who do not have easy access to a regular healthcare provider or insurance.
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What is dps school-based health center?
DPS school-based health center is a health facility located within a school that provides medical services to students.
Who is required to file dps school-based health center?
The school administration or the management of the school-based health center is required to file the DPS school-based health center.
How to fill out dps school-based health center?
To fill out the DPS school-based health center, one must provide detailed information about the health services provided, number of students served, and other relevant data.
What is the purpose of dps school-based health center?
The purpose of DPS school-based health center is to provide easy access to healthcare services for students and promote their overall well-being.
What information must be reported on dps school-based health center?
Information such as number of students served, types of medical services provided, and any trends or patterns observed in student health must be reported on the DPS school-based health center.
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