Telemedicine Pre-Registration

If you have already registered, you may log on by clicking on this link: yourhealthfile.com


Please fill out the details in the form below to enroll the student in the Telemedicine Program

Por favor, rellene los detalles en el siguiente formulario para inscribir al estudiante en el Programa de Telemedicina

Student InformationInformación del estudiante

MaleFemale

Parent/Guardian Information Información de los padres

Emergency Contact / Contacto de Emergencia

Medical History / Historial Medico


Please indicate NONE if the child is not taking any medications

Patient Insurance / Seguro del paciente

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