NSU Health History and Physical Form 2011-2025 free printable template

NORFOLK STATE UNIVERSITY Health History and Physical Form (Sections I ? IV) Virginia State Law (Code 23-7.5) requires all students to submit a completed Health History and Immunization record. Sections

How to fill out NSU Health History and Physical Form

How to fill out NSU Health History and Physical Form

1. Gather your personal information including name, date of birth, and contact information.
2. Indicate your medical history by listing any past illnesses, surgeries, or hospitalizations.
3. Provide details of any current medications, including dosages and frequency.
4. Answer questions about your family's medical history, including any hereditary conditions.
5. Fill out information regarding allergies, including medications, food, and environmental allergies.
6. Complete the section on physical activity and lifestyle choices, such as diet and exercise habits.
7. Sign and date the form to confirm the accuracy of the information provided.

Who needs NSU Health History and Physical Form?

1. New students enrolling in NSU who require a health examination.
2. Current students needing to update their health records.
3. Athletes participating in sports requiring a physical examination.
4. Students applying for certain programs that necessitate health clearance.

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What is NSU Health History and Physical Form?

The NSU Health History and Physical Form is a document used to collect an individual's medical history and current health status, required for admission to health-related programs at Nova Southeastern University.

Who is required to file NSU Health History and Physical Form?

All incoming students to health-related programs at Nova Southeastern University are required to file the NSU Health History and Physical Form to ensure they meet health and safety requirements.

How to fill out NSU Health History and Physical Form?

To fill out the NSU Health History and Physical Form, individuals should carefully read the instructions, provide accurate and complete information regarding their medical history, and have a qualified healthcare provider complete the physical examination section.

What is the purpose of NSU Health History and Physical Form?

The purpose of the NSU Health History and Physical Form is to assess the health status of students, identify any medical conditions that may affect their studies or clinical activities, and ensure compliance with health regulations.

What information must be reported on NSU Health History and Physical Form?

The information that must be reported on the NSU Health History and Physical Form includes personal health history, current medications, allergies, vaccinations, previous surgeries, and a physical examination report from a healthcare provider.