Get the free Graduate student health record form - Lipscomb University - lipscomb

GRADUATE STUDENT HEALTH RECORD FORM* Please complete both pages of this form and return to Health Services, Lipscomb University, 1 University Park Drive, Nashville, TN 37204-3951 or by fax to 615.966.5286.

How to fill out graduate student health record

How to fill out a graduate student health record:

1. Contact your university's health services office to obtain a copy of the graduate student health record.
2. Read the instructions provided with the health record carefully to understand the information and documents required.
3. Fill out the personal information section accurately, including your full name, date of birth, student ID number, contact information, and emergency contact details.
4. Provide your medical history, including any past illnesses, surgeries, or chronic conditions, as well as the contact information of your primary care physician.
5. Record your immunization history, including dates and types of vaccines received. Some universities may have specific immunization requirements for graduate students.
6. Fill out the section related to your current medications, allergies, and any known medical conditions.
7. If required, attach any supporting documents such as lab test results or medical reports.
8. Review the completed health record to ensure all information is accurate and legible.
9. Submit the health record to your university's health services office within the designated deadline.

Who needs a graduate student health record:

1. All graduate students entering a university or college typically need to submit a graduate student health record.
2. The health record is important for the university to ensure the well-being and safety of its students.
3. It allows the university's health services office to have essential medical information about each graduate student to provide appropriate care and support if needed.
4. Some universities may also require the health record for insurance purposes or to comply with local health regulations.
5. Graduate students participating in certain programs, such as research involving human subjects or clinical rotations, may have additional health requirements and could be required to provide a health record.

For pdfFiller’s FAQs

What is graduate student health record?

A graduate student health record is a document that contains medical information and records of a graduate student.

Who is required to file graduate student health record?

All graduate students are required to file their health records.

How to fill out graduate student health record?

To fill out a graduate student health record, you need to provide accurate and detailed medical information, including past illnesses, medications, allergies, and immunization records.

What is the purpose of graduate student health record?

The purpose of a graduate student health record is to ensure that the university has up-to-date medical information of its students, which can be crucial in case of emergencies or health-related issues.

What information must be reported on graduate student health record?

The information that must be reported on a graduate student health record includes personal details, medical history, current medications, allergies, immunization records, and emergency contact information.

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