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Get the free USM Summer/Winter International Programs Medical Form - usm maine

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This medical form collects health information from participants in the Dominican Republic Health Outreach Program to ensure safety and preparedness during travel.
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How to fill out USM Summer/Winter International Programs Medical Form

01
Obtain the USM Summer/Winter International Programs Medical Form from the official website or program coordinator.
02
Read the instructions carefully before starting to fill out the form.
03
Fill in your personal information, including your full name, date of birth, and contact details.
04
Complete the medical history section, providing details about any pre-existing conditions, allergies, or medications you are currently taking.
05
Have your healthcare provider complete the section regarding your physical examination, if required.
06
Sign and date the form to confirm that all information provided is accurate.
07
Submit the completed form by the specified deadline via email or to the designated office.

Who needs USM Summer/Winter International Programs Medical Form?

01
All participants enrolled in the USM Summer/Winter International Programs are required to fill out the Medical Form.
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The USM Summer/Winter International Programs Medical Form is a document required for participants in the summer or winter international programs at the University of Southern Maine (USM) to provide essential health information.
All participants in the USM Summer/Winter International Programs are required to file the Medical Form to ensure their health and safety during the programs.
To fill out the USM Summer/Winter International Programs Medical Form, participants should carefully complete all sections of the form, providing accurate medical history and any necessary emergency contact information.
The purpose of the USM Summer/Winter International Programs Medical Form is to collect important health information about participants to ensure their well-being and to provide necessary medical care if needed during the program.
Participants must report their medical history, allergies, current medications, and emergency contact details on the USM Summer/Winter International Programs Medical Form.
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