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Student Status: Freshman Wellness Center 3900 Homeland Dr. San Diego, CA 92106 Phone 619.849.2574 Fax 619.849.7014 SDWellnessCenter pointless.edu Soph. Junior Senior Readmits: Date of last semester
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How to fill out undergraduate student health history:

01
Start by obtaining the undergraduate student health history form from your educational institution. This form may be available online or you may need to visit the student health services office to obtain a physical copy.
02
Carefully read all the instructions provided on the form. Make sure you understand what information is required and how it should be filled.
03
Begin by providing your personal details such as your full name, date of birth, student ID number, and contact information. Fill in these details accurately and legibly.
04
The next section of the form usually asks for information regarding your medical history. This includes any previous illnesses or injuries you have had, surgeries, hospitalizations, allergies, chronic conditions, and any medications you may be taking. Answer these questions honestly and provide as much detail as possible.
05
The form may also inquire about your immunization history. You may need to provide information regarding your vaccinations, such as dates and the vaccines you have received.
06
Some forms might require you to disclose any mental health history. If applicable, indicate any previous or ongoing mental health concerns or treatments you have received.
07
It is common for the form to include a section on insurance coverage. If you have health insurance, provide the relevant details such as the insurance provider, policy number, and any necessary contact information.
08
In case of emergency situations, you will be asked to provide emergency contact information. Fill out this section accurately, including the names, phone numbers, and relationships of the individuals you would like to be contacted during an emergency.
09
Once you have filled out all the required sections of the form, carefully review your answers to ensure accuracy and completeness.
10
Finally, sign and date the form as required. This indicates that the information provided is accurate to the best of your knowledge.

Who needs undergraduate student health history?

01
Educational institutions require undergraduate students to complete a health history form. This allows them to have a comprehensive understanding of the student's physical and mental health status.
02
Student health services and medical professionals within the educational institution need the undergraduate student health history in order to provide appropriate healthcare services and interventions if needed.
03
The information provided in the undergraduate student health history form is crucial for ensuring the safety and well-being of the student during their time at university or college. In case of emergencies or health concerns, having access to this information helps medical professionals make informed decisions and provide appropriate care.
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