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  • Home > Our Network > Patient Services Directory > Children's Health > School Based Health Centers > SBHC Forms

SBHC Forms

New SBHC Enrollment

Initial Enrollment Letter
Guide to Completing SBHC Enrollment Forms
Initial SBHC Enrollment Student Information
Initial Health History
Intial SBHC Enrollment Consent to Bill Insurance
Privacy Notice

SBHC Re-Enrollment

Reenrollment letter
Guide to Completing SBHC Enrollment Forms
SBHC Reenrollment Form

Other

Authorization for Medical Record Release

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Information
One Atwell Road
Cooperstown, NY 13326
607-547-3456
1-800-BASSETT (227-7388)


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