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

    Patient InformationInformación del paciente

    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