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Get the free Student Health Record 2015 FINALIZED - DePauw University - depauw

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1000 E. Main St., Building 1, Suite 106, Danville, IN 46122 PHONE 765.658.4555 FAX 317.718.8160 VISIT www.DePauwHealth.org To drop off on campus: Student Life Office, Union Bldg., Rm. 210 STUDENT
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How to fill out student health record 2015:

01
Obtain the student health record form from your school or educational institution.
02
Fill in the student's personal information, such as full name, date of birth, and contact information.
03
Provide the student's medical history, including any previous illnesses, surgeries, or chronic conditions they may have.
04
Indicate any allergies or sensitivities that the student may have, including food allergies or medication allergies.
05
Provide information about the student's immunization history, including dates of vaccinations and any boosters received.
06
Fill in details about any current medications the student is taking, including dosages and frequency.
07
Include emergency contact information for the student, including a primary contact person and their phone number.
08
Sign and date the student health record form, indicating that all the information provided is accurate and complete.
09
Return the completed student health record form to the appropriate person or department at your school.

Who needs student health record 2015:

01
Students who are enrolling in a school or educational institution in 2015.
02
Parents or legal guardians of students who are under 18 years old and are enrolling in school.
03
School administrators and healthcare professionals who require accurate and up-to-date health information for each student.
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Teachers and staff members who may need to be aware of any specific health conditions or allergies that a student may have.
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Medical professionals who may need access to the student's health record in case of an emergency or medical treatment.
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