Outreach Through Registration Forms

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  • An opt-out clause should be added to the registration cards and athletic departments emergency contact cards.
  • Information gathered from these documents would then be given to the appropriate school personnel or Partnering Agency for each family that does not check the opt-out box. The appropriate school personnel or Agency would then contact every uninsured family and schedule an appointment to complete a Hoosier Healthwise application.
  • The schools will start tracking the insurance information in their databases and release the information to the appropriate personnel or Agency for every family that does not check the opt-out box.
Opt-Out Clause - Example
Student Health Insurance Status Form - Example

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