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Selinsgrove Area School District Student Health History Name of Child THE NATURE AND PURPOSE OF THIS HEALTH RECORD I understand the information I give to the School Nurse is important for the school
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How to fill out student health history

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How to fill out student health history:

01
Gather necessary documents: Start by collecting any relevant medical records, vaccination records, and health insurance information. These documents will help in accurately filling out the student health history form.
02
Read and understand the form: Carefully go through the student health history form to familiarize yourself with the questions and sections. This will ensure that you provide accurate and complete information.
03
Personal information: Begin by filling out the personal information section, including the student's name, date of birth, address, and emergency contact details. Make sure to provide accurate and up-to-date information.
04
Medical history: Fill out the medical history section, which may include questions regarding pre-existing medical conditions, past surgeries, allergies, medications, and chronic illnesses. Be honest and provide as much detail as possible.
05
Immunization history: Specify the details of the student's immunization history, including the dates and types of vaccines received. If there are any missing vaccinations, this section may also require you to provide a plan to catch up on immunizations.
06
Family medical history: Share any relevant information about the student's family members' medical history, such as hereditary conditions or diseases that may run in the family.
07
Contact information for healthcare providers: Provide the contact details of the healthcare professionals who have been involved in the student's medical care, including primary care physicians, specialists, and any other relevant healthcare providers.
08
Sign and date the form: Once you have completed filling out all the required sections, carefully review the form for accuracy. Sign and date the form as needed to verify that the information provided is true and correct.

Who needs student health history:

01
Schools and universities: Educational institutions require student health history to ensure the safety and well-being of their students. This information helps them address any health concerns and provide appropriate support or accommodations if needed.
02
Healthcare professionals: Doctors, nurses, and other healthcare providers need access to a student's health history to deliver appropriate medical care. This information aids in diagnosing, treating, and managing any health conditions or emergencies that may arise during the student's time at school.
03
Parents and guardians: Student health history is essential for parents and guardians as it provides them with a comprehensive overview of their child's medical background. This knowledge helps them make informed decisions regarding their child's health and well-being.
In summary, when filling out the student health history form, gather all the necessary documents, read and understand the form, provide accurate personal and medical information, specify immunization and family medical history, and sign and date the form. Educational institutions, healthcare professionals, and parents or guardians all require student health history to ensure appropriate care and support for the student.
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