School Supplies

At Carolina Complete Health, we believe child education is an important part of overall health and wellness. That's why we offer all members enrolled in grades Pre-Kindergarten through 12th grade basic school supplies per plan year.

School Supplies Value-Added Service is only available May through July.

Eligibility

Carolina Complete Health members who are 5 years old to 18 years old and currently enrolled in grades Pre-Kindergarten through 12th grade can receive this Value-added Service. One school supply set per school year. The school supplies value-added service are only accepted between May 1st - July 31st each year.

SCHOOL SUPPLIES FORM

Child's Name * As it appears on your Carolina Complete Health Member ID card. Name must match name of the student.

Name of person filling out this form (Must be Parent or Legal Guardian of Member)

Member ID Number * As it appears on your Carolina Complete Health Member ID card. Member ID Number must match to student.

Member Birthday *

Member Street Address (Must match address on file with Carolina Complete Health) *

Number *

City *

Zip Code (Must be 5 digits) *

Phone Number (Must be Parent or Legal Guardian of Member) *

Email Address (Must be Parent or Legal Guardian of Member) *