Get Sho Pai Tribes

Filling out the Sho Pai Tribes student health form is a crucial step for students attending educational institutions within the Sho-Pai Managed Care Program. This guide provides clear instructions to ensure you complete the form accurately and efficiently.

Follow the steps to complete the Sho Pai Tribes student health form online.

1. Click ‘Get Form’ button to access the form and open it in the designated editor.
2. Begin by filling out the section designated for students. Enter your last name, first name, and middle initial in the appropriate fields.
3. Provide your date of birth and chart number. These are important for identification within the health facility.
4. Fill out your insurance information, including the insurance name and relevant phone numbers while attending school. Be sure to write your housing telephone number and cell phone number.
5. Complete your permanent address, ensuring that it is up-to-date for correspondence.
6. List emergency contact information, including the name, phone number, and relationship to you.
7. If applicable, list all dependents who will accompany you while attending school, including their names, dates of birth, chart numbers, and your relationship to them.
8. Proceed to the section to be completed by the registrar’s office. This section requires the registrar to certify your enrollment status and credit hours.
9. Ensure that the registrar's office signs and dates the form to authorize your enrollment and managed care.
10. Review all the information provided for accuracy before finalizing. Once completed, you can save changes, download, print, or share the form as needed.

Complete your documents online today for a smooth process in your educational journey.