We are excited to announce the opening of our School Based Health Clinic. We are now accepting appointments. All required forms can be found at the following links:
Pediatric Intake Form
Consent to treat a minor
Registration Form (if you are a current Logan Health Patient, you do not need to complete this form.)
Consent & Release of Information
Please include a copy of your insurance card.
These forms can be returned to your child's school or emailed to [email protected]
RELEASE OF INFORMATION
To be completed if the school needs to contact your healthcare provider (outside of Logan Health) to exchange information.
Release of information form
FAQ
Is it free?
The school-based health center will bill private insurance, Medicaid, Healthy Montana Kids and Montana Kids plus for eligible students. Parents/Guardians will be responsible for co-payments and deductibles for medical services. We are happy to assist in enrolling your child in the appropriate programs.
Will signing up for school-based health center services mean that you can’t use your family’s provider?
If you have a family provider, you may still use the school-based health center. As a parent or guardian, you may find a school-based health center appointment to be a very convenient option for your child to get medical care if they get sick or injured while at school. When we complete a physical exam or provide other services for your child, we will send the results to your family provider upon your consent.
Can I select which services my child can use at the School-based health center?
Yes. Services are listed on the consent form and there is space for you to write in which services you do not want your child to receive. The School-based health center staff will check your consent form before they see your child and will know which restrictions you have placed on your consent. All services will be provided in accordance with Montana state law.
Will my child’s medical information be kept confidential?
Your child’s medical information will be treated with strict confidentiality in accordance with HIPAA and FERPA regulations. Please note that if your school has a school nurse, it is possible that he or she will assist the school-based health center’s medical provider during your child’s visit. Information obtained during a school-based health center visit will be kept in the patient’s medical record and is not accessible to school personnel.
