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INROADS INTERN HEALTH FORM 2015 PLEASE PRINT CLEARLY INTERN INFORMATION NAME LAST FIRST MI SS# ADDRESS DATE OF BIRTH SEX PHONE PARENT/GUARDIAN INFORMATION NAME RELATIONSHIP TO INTERN ADDRESS HOME
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How to fill out the inroads intern health form:

01
Start by carefully reading the instructions provided on the form. Make sure you understand all the requirements and information needed.
02
Begin by providing your personal details such as your name, contact information, student ID number, and the name of your academic institution.
03
Next, fill in your medical history. This includes any pre-existing medical conditions, allergies, medications you are currently taking, and any previous surgeries or hospitalizations.
04
The form may also ask for details regarding your immunization history. Make sure to accurately provide information about any vaccinations you have received, including the dates and types of vaccines.
05
If you have any specific health concerns or require any accommodations during your internship, ensure that you clearly communicate these on the form.
06
In some cases, the form may request emergency contact information. Provide the names and contact details of individuals who should be contacted in case of an emergency.
07
Lastly, carefully review the form to ensure all the information provided is accurate and complete. Sign and date the form as required.

Who needs the inroads intern health form?

01
Inroads interns: Any individual participating in the Inroads internship program is typically required to fill out the intern health form. This is to ensure that all interns are in good health and can safely engage in their internship activities.
02
Academic institutions: Colleges, universities, and other academic institutions that partner with Inroads may also require their interns to complete the health form. This is to ensure that the institution is aware of their students' health status and can support their well-being during the internship period.
03
Host organizations: The host organizations where the interns will be placed may also require the inroads intern health form. This is to ensure they are aware of any medical conditions or requirements that may need to be accommodated during the internship.
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The inroads intern health form is a document that collects information about the health status of interns participating in the program.
All interns participating in the inroads program are required to fill out the intern health form.
Interns must complete the form with accurate information about their health status and any medical conditions they may have.
The purpose of the inroads intern health form is to ensure the health and safety of interns participating in the program.
Interns must report any medical conditions, medications they are taking, and emergency contact information on the health form.
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