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Get the free University of Virginia Pre-entrance Health Record - virginia

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This document is required for new students at the University of Virginia to provide necessary health information, including immunizations and health insurance details, prior to enrollment.
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How to fill out University of Virginia Pre-entrance Health Record

01
Obtain the University of Virginia Pre-entrance Health Record form from the official university website or student health services.
02
Read the instructions carefully to understand which sections require your personal information.
03
Fill in your personal details, including full name, date of birth, and contact information.
04
Complete the medical history section by detailing your past illnesses, surgeries, and any ongoing medical conditions.
05
Provide immunization records, including dates for vaccinations required by the university.
06
Have your healthcare provider fill out any sections that require a physician's signature or additional medical evaluation.
07
Review the entire form for completeness and accuracy before submission.
08
Submit the completed health record form by the specified deadline set by the university.

Who needs University of Virginia Pre-entrance Health Record?

01
Newly admitted students who plan to enroll at the University of Virginia are required to complete the Pre-entrance Health Record.
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Make an Appointment or Walk-In Walk-in appointments are accepted if times are available. To make appointments, please call 276-376-3475.
Required Vaccines Tetanus (Td or Tdap): 1 dose within the past 10 years. Measles, Mumps, Rubella*: 2 MMR doses- 1st dose on or after 1st birthday and doses at least 28 days apart. Polio*: completed childhood series or 1 dose of IPV on or after 18th birthday. Hepatitis B*: completed series.
Medical Services To schedule an appointment, use the HealthyHoos patient portal, available anything, or call (434) 924-5362 during business hours. If you do not see any available appointments online within the same or next business day, please call (434) 924-5362 during business hours.
Student Health and Wellness (SHW) professional services are included with tuition as mandatory fees. This means there is no charge for the evaluation and management services provided by the clinician during your visit (e.g. physician, nurse practitioner, mental health clinician, or health educator.)
We encourage you to make an appointment, to make the best use of your time. If you have an urgent need and no appointment, call us at (434) 924-5362 or walk-in to the Medical Services lobby and speak with the front desk staff.
Get your medical records one of these 3 simple ways: MyChart: online access to your health records, imaging, and more. Use the online health records request tool. Questions about using the tool? Watch this video for answers. Download a form, print it out, and send it to us: Request form: English or Spanish.
We have transitioned our walk in clinic care to a same day appointment model in an effort to provide times that are more convenient to our patients, and to reduce wait times on site. Call ahead to schedule an appointment.

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The University of Virginia Pre-entrance Health Record is a documentation process that collects necessary health information from incoming students to ensure they meet the health requirements for enrollment.
All incoming students, including first-year students and transfer students, are required to file the University of Virginia Pre-entrance Health Record.
To fill out the University of Virginia Pre-entrance Health Record, students need to complete the provided forms, which typically require personal health history, immunization records, and a physical examination report by a healthcare provider.
The purpose of the University of Virginia Pre-entrance Health Record is to ensure that all students are healthy and have received necessary vaccinations, promoting a safe and healthy campus environment.
The information required on the University of Virginia Pre-entrance Health Record includes personal health history, immunization status, medical conditions, allergies, and the results of a physical examination.
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