Get the free Student Health History and Parent Consent Form

This form collects health history and parental consent for students participating in the Upward Bound Program at Eastern Kentucky University, including personal information, health conditions, and

How to fill out student health history and

How to fill out Student Health History and Parent Consent Form

1. Obtain a copy of the Student Health History and Parent Consent Form from the school or educational institution.
2. Read the instructions carefully to understand the requirements for filling out the form.
3. Provide the student's personal information, including full name, date of birth, and grade level.
4. Complete the health history section by detailing any medical conditions, allergies, medications, or previous surgeries the student has had.
5. Fill out the emergency contact information, including names and phone numbers of individuals to be reached in case of an emergency.
6. Provide parental consent for medical treatment and any specific activities or programs that require consent.
7. Sign and date the form to verify the information provided and give necessary permissions.
8. Submit the completed form to the designated school official or health office before the stated deadline.

Who needs Student Health History and Parent Consent Form?

1. All students enrolled in the school or educational program typically need to submit the Student Health History and Parent Consent Form.
2. Parents or guardians are required to fill out the form for their minor children.
3. Students participating in physical education, sports, or special programs may need this form to ensure their health and safety.

For pdfFiller’s FAQs

What is Student Health History and Parent Consent Form?

The Student Health History and Parent Consent Form is a document that collects important medical information about a student, including their health history, allergies, medications, and any other pertinent health-related information, along with consent from parents or guardians for medical treatment and information sharing.

Who is required to file Student Health History and Parent Consent Form?

Typically, all students entering a school for the first time, as well as those participating in certain programs or activities, are required to file the Student Health History and Parent Consent Form.

How to fill out Student Health History and Parent Consent Form?

To fill out the form, parents or guardians should provide detailed information about the student's medical history, including existing health conditions, any allergies, current medications, and emergency contact information, followed by signing the consent section.

What is the purpose of Student Health History and Parent Consent Form?

The purpose of the form is to ensure that school personnel have the necessary health information to provide appropriate care to students and to obtain parental consent for emergency medical treatment when required.

What information must be reported on Student Health History and Parent Consent Form?

The information that must be reported includes the student's medical history, allergies, medications, immunization records, any ongoing health issues, and emergency contact information, as well as consent for treatment and information sharing.