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This form gathers essential medical information for students at Immaculata University to ensure safety and compliance with health requirements prior to registration and participation in university
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How to fill out student health services form

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How to fill out Student Health Services Form

01
Obtain the Student Health Services Form from the Student Health Services website or office.
02
Fill in your personal information such as name, date of birth, and student ID.
03
Provide emergency contact information including name and phone number of a trusted person.
04
Complete the medical history section, noting any allergies, medications, or pre-existing conditions.
05
Sign and date the form to verify that the information provided is accurate.
06
Submit the completed form either electronically or in person as instructed.

Who needs Student Health Services Form?

01
All enrolled students who wish to utilize health services provided by the institution.
02
Students who are required to provide health information for compliance with university policies.
03
Students seeking accommodations or support related to health issues.
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People Also Ask about

Is $200 a month expensive for health insurance in California? Health insurance that costs $200 per month is a good deal in California. Silver plans typically cost $513 per month for a 21-year-old or $656 per month for a 40-year-old.
If you need to see a medical provider, please call Student Health Services at 631-632-6740 to make an appointment.
Student plans come with added benefits because they're designed with students in mind. Lower rates are possible partly because they're based on a younger, healthier population and provide coverage for a limited time (just while they're in school).
Health Insurance Premiums by State StateAverage Monthly Benchmark Premium for a 40-Year-Old California $512 Colorado $463 Connecticut $693 Delaware $53447 more rows
Students applying for their own health insurance plan can generally expect to pay a national average of $158 per month* for a short-term plan or $231 per month* for a major medical plan.
The cost of school-sponsored health insurance plan will vary at every university. Students applying for their own health insurance plan can generally expect to pay a national average of $158 per month* for a short-term plan or $231 per month* for a major medical plan.
Contact Student Health Services: Office hours: Monday-Thursday 8:30am to 4:30pm and Friday 8:30am to 3:00 pm EST. Please note: The SHS office is closed on Fridays during summer break. Phone: 718-990-6360.

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The Student Health Services Form is a document required by educational institutions to collect health information about students to ensure their well-being and safety on campus.
Typically, all new students, including freshmen and transfer students, are required to file the Student Health Services Form. Certain programs or activities may also require current students to submit the form.
To fill out the Student Health Services Form, students need to provide personal information, health history, immunization records, and any special health requirements. It's important to follow the instructions provided by the institution carefully.
The purpose of the Student Health Services Form is to ensure that the institution can provide appropriate health services, identify any potential health issues, and maintain a safe environment for all students.
The form typically requires information such as personal contact details, medical history, vaccination status, current medications, allergies, and emergency contacts.
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