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CareVan

…accommodate as many riders as possible. This means that riders may share a vehicle, be asked to be dropped off early for an appointment, or may need to wait for…

Pediatric Dental Assistant Application

…Occupation(Required) Do you have a High School Diploma and/or GED?(Required) YesNo Preferred Method of Communication(Required) PhoneE-Mail I would like to be selected for enrollment in the Dental Assistant Program because:(Required)…

Financial Assistance

…con descuento de 2024 Disclaimer: Any information provided by CHC/SEK, related to the estimated costs/fees associated with our services, is a good faith estimate. The actual costs/fees you may be…

Health Records

…Form English Spanish Submit Forms Downloaded forms can be returned to clinic staff, faxed to 620-231-5062, or mailed to: CHC/SEK P.O. Box 1832 Pittsburg, KS 66762 Find a Location Near…

Protected: Pricing and Fees

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Inspire Health

…1 Set includes: Human Ear Poster Inner Ear Model (2 part) Nasal and throat model Ear Anatomy Pocket Chart Ear Reference Guide Body Puzzle (100 pieces) Dental Model Giant Mouth…

School Health Clinics

School Health Services In collaboration with school districts across Eastern Kansas and Northeast Oklahoma, we provide and facilitate healthcare services in schools to help ensure students are ready to learn….

School Health Clinics

FLU Vaccination Form

…Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin…

Patient Forms

…Enrollment Form – English Behavioral Health Patients Demographic/Informed Consent – English Demographic/Informed Consent – Español School Health Patients Demographic/Consent to Treat Kansas – English Demographic/Consent to Treat Kansas – Español…