Epstein Secrets

LY PHYSICIAN (413) PHYSICIAN PHONE µe7 Does your child currenV have health insurance? BYES 0 NO If YES, indicate: (07) HOSPITAL PREFERENCE . 0 Medicaid airivate 0 Healthy Kids/Kid Cam 0 Interested in receiving information eittiS •i p ER, tpl.PeEtliii,„_, ,,,,,_ cfrk oil _ ,§q. ,pp 73, (49) NA

MATION . PBS() 0797 (REV. 9/12/2001) SIGNATURE OF DATA PROCESSOR ORIGINAL - Cumulative Folder Copy-Office File DATE EFTA01709730 Spring 2003 Florida Comprehensive Assessment Test (FCAT) SUNSHINE STATE STANDARDS Grade 10 Student Report The. Florida Department of Education believes that student has the ability to learn and s

0 Yes (Permission is void through grade 5.) 0 No 6. Does your child currently have health Insurance? ;Yes Q No p If YES, check insurance plan: 0 Medicaid 0 Healthy Kids/Kid Care IXPrivate K Interested in receiving information 7. All new students to Palm Beach County are required to answer the followin

your local recruiter for details. 0 I I0 AnVFRNELKKIT P11047000 ,010. 2C0.0110 EFTA01710043 needs (engrebensise Assessment Test October 2004 Florida Comprehensive Assessment Test (FCAT) SSS Reading and SSS Mathematics Retake Tests Grade 11 Student Report NAME: tD: SCHOOL: 2331-ROYAL PALM BEACH HIGH DISTRICT: 60-PALM BEAC

0 Yes (Permission is void through grade 5.) 0 No 6. Does your child currently have health Insurance? ;Yes Q No p If YES, check insurance plan: 0 Medicaid 0 Healthy Kids/Kid Care IXPrivate K Interested in receiving information 7. All new students to Palm Beach County are required to answer the followin

your local recruiter for details. 0 I I0 AnVFRNELKKIT P11047000 ,010. 2C0.0110 EFTA01727096 needs (engrebensise Assessment Test October 2004 Florida Comprehensive Assessment Test (FCAT) SSS Reading and SSS Mathematics Retake Tests Grade 11 Student Report NAME: tD: SCHOOL: 2331-ROYAL PALM BEACH HIGH DISTRICT: 60-PALM BEAC