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Tyler ISD Pregnancy Reporting Form

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Tyler ISD Pregnancy Reporting Form

Tyler ISD Pregnancy Reporting Form

TISD Pregnancy Reporting Form

If this is an emergency, please call 911.

First Name Last Name Date of Birth Address Address Line 2 City State Zip Phone Relationship to Subscriber on the TISD Employee Health Plan Self Spouse Email Who is your OB-GYN? Estimated Delivery Date Would you like to attend a free Newborn Care class offered by CHRISTUS Trinity Mother Frances? Yes, please send me a discount code No Would you like to receive a free 30 day pass to the CHRISTUS Trinity Mother Frances Health and Fitness Centers? Yes No

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CHRISTUS Health
919 Hidden Ridge

Irving, TX 75038

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The terms "CHRISTUS" or the "Company" as used in this website refer to CHRISTUS Health and its subsidiaries or affiliates, unless otherwise stated or indicated by context. The term "facilities or ministries" refers to entities owned or operated by subsidiaries or affiliates of CHRISTUS Health. References herein to "CHRISTUS associates" or to "our associates" refer to associates of subsidiaries or affiliates of CHRISTUS Health.

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Tyler ISD Pregnancy Reporting Form

TISD Pregnancy Reporting Form