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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

Child and Adult Immunization Forms - English
Click below to download or print immunization registration forms:
https://www.dignityhealth.org/arizona/locations/chandlerregional/about-us/immunization-clinics

Dental Forms - English
1.	Patient Information Form Click Here
2.	Patient Dental Health History Click Here

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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