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Student Health Medical Record MANDATORY: Must be completed prior to attending classes. Must Read Instructions: 1. Save the attached envelope to mail your completed health form. ALL FOUR PAGES MUST
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How to fill out student health medical record

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How to fill out student health medical record:

01
Begin by gathering all necessary personal information such as your name, date of birth, student ID number, and contact information. This will ensure accurate identification and communication.
02
Provide details about any pre-existing medical conditions, allergies, or chronic illnesses that you may have. It is important to disclose this information to ensure proper care and treatment while on campus.
03
Fill in information about your primary healthcare provider, including their name, contact information, and any relevant medical history. This will help the school health center coordinate care and communicate with your healthcare provider if needed.
04
Indicate any medications you are currently taking, including the dosage and frequency. It is crucial to disclose this information to avoid any potential drug interactions and to ensure appropriate medical care.
05
Answer questions regarding your immunization history. This may include providing dates of vaccinations, such as for measles, mumps, rubella, and meningitis. Immunization records help protect you and others on campus from preventable diseases.
06
If you have any specific dietary restrictions or food allergies, make sure to note them in the medical record. This information is vital for the dining services department to provide suitable meal options and prevent any allergic reactions.
07
Lastly, sign and date the form to verify the accuracy and completeness of the information provided. This signifies your consent and understanding of the contents of the student health medical record.

Who needs student health medical record?

01
Students: It is essential for individuals enrolled in educational institutions to have student health medical records. These records help the school health center provide proper and timely medical care during emergencies or routine health visits.
02
School Staff: Faculty and staff members need access to student health medical records to ensure a safe and healthy learning environment. This information allows them to be aware of any specific health needs or precautions required for students under their supervision.
03
Healthcare Providers: Outside healthcare providers may need access to student health medical records to provide appropriate care and treatment. Having this information readily available can help them make informed decisions regarding the student's health.
In summary, filling out your student health medical record accurately and thoroughly is crucial to ensure proper healthcare while on campus. The record is needed by students, school staff, and healthcare providers to provide comprehensive care and maintain a safe learning environment.
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Student health medical record is a document that contains information about a student's medical history, vaccinations, allergies, and any ongoing health conditions.
Parents or guardians are typically responsible for filing the student health medical record.
The student health medical record can be filled out by providing accurate information about the student's medical history, vaccinations, allergies, and any ongoing health conditions.
The purpose of the student health medical record is to ensure that schools have important information about a student's health in case of emergencies.
Information such as medical history, vaccinations, allergies, and any ongoing health conditions must be reported on the student health medical record.
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