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RANDOLPH COLLEGE MEDICAL RECORD Medical History pages 1 & 2, Physician Physical page 3, Immunization Form page 4 Required for ALL incoming students DEADLINE: First Semester Admits JULY 1; Second Semester
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How to fill out randolph college medical record

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Start by gathering all necessary information: Before filling out the Randolph College medical record, make sure you have all the required information readily available. This may include personal details such as your full name, date of birth, contact information, and social security number. Additionally, have your health insurance details, emergency contacts, and any relevant medical history or current medications on hand.
02
Review the form instructions: Carefully read the instructions provided on the Randolph College medical record form. This will give you a clear understanding of what information is required and how it should be filled out. Pay attention to any specific formatting or documentation requirements.
03
Complete personal information section: Begin by filling out the personal information section of the form. Provide accurate details about your name, address, phone number, and email address. Double-check for any errors or misspellings before moving on to the next section.
04
Provide health insurance details: Supply the necessary information about your health insurance coverage. This may include the name of your insurance company, policy number, group number, and the contact information of the insurance provider.
05
Disclose medical history: In the medical history section, provide information about your past and current medical conditions, surgeries, allergies, and medications. Be as thorough as possible to ensure that your healthcare providers have a comprehensive understanding of your medical background.
06
Emergency contact information: Fill out the emergency contact section, including the names, phone numbers, and relationships of individuals who should be contacted in case of an emergency. Provide more than one emergency contact to ensure there are backup options.
07
Review and sign: Carefully review all the information provided on the Randolph College medical record form to ensure accuracy. Make any necessary changes or additions before signing the document. By signing, you are acknowledging that the information you have provided is true and correct to the best of your knowledge.

Who needs Randolph College medical record?

01
Prospective students: Any individual planning to enroll or attend Randolph College will need to fill out and provide a completed medical record. This record helps the college's health services department ensure the well-being and safety of the student while they are on campus.
02
Current students: Even after admission, Randolph College requires its students to maintain updated medical records. This helps the college keep track of any changes in the student's health status and aids in providing appropriate healthcare services when necessary.
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College staff and healthcare providers: The medical records at Randolph College serve as an important reference for the college staff and healthcare providers involved in providing medical care to students. These records allow for efficient and informed decision-making, ensuring the students' health needs are appropriately addressed.
Please note that the specific requirements and procedures for filling out the Randolph College medical record may be subject to change. It is always recommended to refer to the most up-to-date instructions and guidelines provided by the college.
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Randolph College medical record is a document that contains a student's health information and medical history while attending Randolph College.
All students enrolled at Randolph College are required to file their medical records.
Students can fill out their medical records by visiting the college's health center and submitting the necessary forms and documentation.
The purpose of Randolph College medical record is to ensure that the health and well-being of students are monitored and maintained while attending the college.
Information such as medical history, current health conditions, allergies, medications, and emergency contacts must be reported on Randolph College medical record.
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