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School-Based Health Center Registration

All documents can be downloaded, printed, and filled out.

The following forms can be used at the School-Based Health Centers located at Bethel Middle School or at Graham-Kapowsin High School.

To send documents in advance, please fax them:
SBHC at Bethel Middle School: (253) 722-1776
SBHC at Graham-Kapowsin High School:(253) 354-4316

Registration Documentation

For infant (ages 0 – 1):

Register Child – English
Register Child – Spanish
Register Child – Russian
Register Child – Vietnamese

For child (ages 1 – 12):

Register Child – English
Register Child – Spanish
Register Child – Russian
Register Child – Vietnamese

For adolescent (ages 12 – 18):

Register Child – English
Register Child – Spanish
Register Child – Russian
Register Child – Vietnamese

For adult (ages 19 and up):

Register Adult – English
Register Adult- Spanish
Register Adult- Russian
Register Adult- Vietnamese

Supplemental SBHC Consent for Services Form

Supplemental Form – English

Sports Physical Form – English

Supplemental Form – Spanish