Medical Expense Relief for Low-income Students HOME

School Nurses must complete a PROVIDER LETTER stating that the student is qualified to participate in the program sponsored by Jordan Education Foundation. The form is only available by contacting Jordan Education Foundation. The form requires the following information:
DATE
NAME OF STUDENT
STUDENT'S BIRTH DATE
SCHOOL
NAME, SIGNATURE, AND CONTACT INFORMATION OF CERTIFYING NURSE
LIST OF MEDICAL NEEDS APPROVED

For more information, please call (801) 567-8125 or email Jordan Education Foundation.

 

 

 

 

 

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© 2007