Get the free Student Health Examination and Immunization Form - wcu

This document is required by the NC Board of Nursing to ensure nursing students are assessed for physical and emotional health necessary for providing safe nursing care. It must be completed and kept

How to fill out student health examination and

How to fill out Student Health Examination and Immunization Form

1. Obtain the Student Health Examination and Immunization Form from your school's website or health office.
2. Fill out your personal information, including your name, date of birth, and contact information.
3. Have your healthcare provider conduct a physical examination and fill out the relevant section of the form.
4. Record the dates of all required vaccinations, including measles, mumps, rubella, tetanus, and others as specified by your school.
5. Ensure all immunization records are up to date; provide copies of any vaccination documents if necessary.
6. Sign and date the form to certify that all information provided is accurate.
7. Submit the completed form to your school's health office before the deadline.

Who needs Student Health Examination and Immunization Form?

1. All new students enrolling in school for the first time.
2. Students entering specific grades or schools as required by state or local regulations.
3. Students participating in certain sports or activities that require health documentation.
4. International students who must verify their health and immunization status.

For pdfFiller’s FAQs

What is Student Health Examination and Immunization Form?

The Student Health Examination and Immunization Form is a document that collects health history and immunization records of students to ensure they are up to date with required vaccinations.

Who is required to file Student Health Examination and Immunization Form?

Typically, new students, particularly those entering educational institutions like schools or colleges, are required to file the Student Health Examination and Immunization Form.

How to fill out Student Health Examination and Immunization Form?

To fill out the form, you need to provide personal details, a history of past health examinations, vaccines received, and any relevant medical information as per the guidelines provided with the form.

What is the purpose of Student Health Examination and Immunization Form?

The purpose of the form is to ensure that students have received necessary vaccinations to prevent outbreaks of preventable diseases and to protect the health of the student population.

What information must be reported on Student Health Examination and Immunization Form?

The form must report personal identification information, medical history, records of vaccinations, dates of immunizations, and any relevant health concerns.