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ChandlerUnified School District

Chandler CARE Center Forms

The forms below are available for your convenience.

Sports Physicals - English
Please print all forms and complete forms 1-3. Physician Evaluation Form will be completed by physician during your appointment.
1.	2020 - 2021 AIA Sports Physical Packet

Adult ONLY Immunization Forms - English

1.	Adult Only Immunization Form
2.	Adult Flu Vaccine Form

Child Immunization Forms - English

1.	Child Only Immunization Form
2.	Child Flu Vaccine Form
3.	Client Intake Form (1 form per family)

Chiropractic Forms - English

1.	Intake Form coming soon
2.	Chiropractic Form

Dental Forms - English

1.	Patient Information Form Click Here
2.	Patient Dental Health History Click Here

TB Skin Test Forms - English

We are no longer able to provide TB skin tests. If you are in need of a TB skin test, please click here to be taken to a website with information on low cost testing.

All Medical Appointment Forms - English

1.	Patient Information Form Click Here
2.	Medical History Form

Southwest Behavioral Referral Form - English

1.	Southwest Behavioral Form

Vision & Hearing Forms - English

1.	Vision and Hearing Client Information Form Click Here
2.	Vision and Hearing Client Consent to Treat Form Click Here

Documents Need to Apply for AHCCCS - English
The document below will assist you in determing what items you will need to bring in with you.
1. AHCCCS Checklist
2. AHCCCS Assistors List - Where to Find Help - Click Here


Address	Phone	Center Hours	Email
777 E. Galveston St. Chandler, AZ 85225 Map View	480-812-7900	Monday - Thursday 7:30 a.m. - 4:30 p.m. Friday 7:30 a.m. - 3:30 p.m.	chandlercarecenter@cusd80.com
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