The attached documentation is what is needed to begin the Enrollment Process :1. Application2. Income Verification3. Birth or Hospital Certificate (Verify Original Birth Record)4. Immunization Record (Copy)5. Physical Examination (Current) (tm) Blood Pressure (tm) Hearing (tm) Vision (tm) Lead Screening6. Hematocrit or Hemoglobin 7. Dental Examination (Current)*Insurance/Medicaid Card (Copy)If you have any questions or need assistance in completing the application, please feel free to come by the office and we will gladly assist you.
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