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Davison Health Center IMMUNIZATION ADMINISTRATION AND CONSENT FORM Last Name: Address: City: Phone:(State: Date of Birth: MI First Name: Gender: / / Month / Day) Zip code: Student only Wesleyan ID:
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How to fill out Davison Health Center:

01
Start by gathering all necessary personal information such as your name, date of birth, contact information, and student ID number.
02
Familiarize yourself with the required forms and documents for the Davison Health Center. These may include health history forms, consent forms, and insurance information.
03
Visit the health center's website or office to obtain the necessary forms. If available online, download and print them for easy access.
04
Carefully read through each form and fill in the required information accurately and honestly. Pay close attention to any specific instructions or sections that may require additional documentation.
05
Provide your health insurance information, including the name of your insurance provider, policy number, and any necessary contact information. If you do not have health insurance, inquire about the options available to you at the Davison Health Center.
06
Complete the health history forms by providing detailed information about any pre-existing medical conditions, allergies, medications you are currently taking, and any past surgeries or hospitalizations. This information will help the healthcare providers at the Davison Health Center better understand your medical background.
07
Review all the forms you have filled out to ensure accuracy and completeness. Double-check that all required sections have been completed and all necessary signatures have been obtained.
08
Submit the completed forms to the Davison Health Center. This can typically be done in person at the center's office or through their online submission portal, if available.

Who needs Davison Health Center:

01
College students: The Davison Health Center primarily caters to the healthcare needs of college students. Whether you are experiencing illness or injury, need routine check-ups and vaccinations, or require counseling services, the health center is designed to meet the unique needs of students.
02
Those in need of healthcare services: The Davison Health Center provides a range of healthcare services including primary care, gynecological care, mental health services, immunizations, laboratory testing, and more. If you require medical attention, the health center can provide the necessary care and support.
03
Students seeking preventive care: In addition to treating illnesses and injuries, the Davison Health Center emphasizes preventive care. They offer various programs and resources aimed at promoting healthy habits and preventing health issues before they arise. If you are interested in maintaining your overall health and well-being, the health center can provide valuable guidance and support.
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The Davison Health Center is the primary health care provider for students at Wesleyan University.
All students enrolled at Wesleyan University are required to utilize the Davison Health Center for their healthcare needs.
Students can fill out the necessary forms and schedule appointments online through the Davison Health Center website, or by visiting the center in person.
The purpose of the Davison Health Center is to provide healthcare services to the students at Wesleyan University, including medical consultations, treatments, and wellness education.
Students must report their medical history, current symptoms, insurance information, and any medications they are currently taking when utilizing the Davison Health Center.
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