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Ithaca College Medical Evaluation Questionnaire For Employees Who Wear Respirators Can you read English? YES / NO Wearing a respirator may place a physiologic burden on employees that varies with
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How to fill out Ithaca College medical evaluation:

01
Begin by obtaining the necessary forms from the Ithaca College Health Center or downloading them from their website.
02
Carefully read through the instructions provided with the evaluation form to ensure you understand the requirements and deadlines.
03
Provide accurate personal information, such as your full name, date of birth, student ID number, and contact details.
04
Complete the sections related to your medical history, including any chronic conditions, allergies, surgeries, or medications you are currently taking. Be sure to provide detailed information where necessary.
05
If applicable, fill out the section regarding your immunization history. It may require dates and types of vaccines received, especially for common illnesses such as measles, mumps, rubella, hepatitis B, and tetanus.
06
The next section typically covers mental health history and any counseling or therapy you have received in the past. Include relevant details about previous diagnoses or conditions.
07
If you require any special accommodations or have specific medical needs that require attention, indicate them in the appropriate section.
08
You may be asked to provide emergency contacts, so be prepared with their names, phone numbers, and your relationship to them.
09
Review your completed form to ensure accuracy, answering all questions to the best of your ability.
10
Sign and date the form as required.
11
Make copies of the completed form for your records before submitting it to the Ithaca College Health Center.
12
Follow any additional instructions, such as attaching relevant medical documentation or providing additional forms if requested.

Who needs Ithaca College medical evaluation:

01
All incoming students at Ithaca College are required to complete a medical evaluation before starting their studies.
02
This evaluation is mandatory for undergraduate and graduate students, including those living both on and off-campus.
03
It is essential for the Health Center to have up-to-date medical information to ensure the safety and well-being of all students while on campus.
04
The evaluation helps the Health Center in providing appropriate care and addressing any medical needs or accommodations that students may require during their time at Ithaca College.
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Ithaca College medical evaluation refers to a health assessment that must be completed by students prior to attending the college to ensure they are physically fit for academic activities.
All students enrolling at Ithaca College are required to file a medical evaluation form.
To fill out the Ithaca College medical evaluation, students must visit the college's health services website, download the form, complete it with their medical history and any necessary documentation, and submit it to the health services office.
The purpose of the Ithaca College medical evaluation is to ensure that students are healthy and can participate in academic activities without endangering their health or the health of others.
The Ithaca College medical evaluation form typically requires information such as medical history, current medications, allergies, immunization records, and any recent illnesses or injuries.
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