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SENECA VALLEY SCHOOL DISTRICT STUDENT HEALTH RECORD AND EMERGENCY PROCEDURES (This form must be filled out in duplicate) PERSONAL NAME Last First GRADE WEIGHT HEIGHT MI ADDRESS PHONE DATE OF BIRTH
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How to fill out student health record
How to fill out a student health record:
01
Start by obtaining the necessary form from your school or educational institution. This form is typically provided by the school's health services department or clinic.
02
Begin by providing your personal information, such as your full name, date of birth, and contact details. Make sure to fill in all the required fields accurately.
03
Next, complete the sections related to your medical history. This may include information about any chronic illnesses, allergies, medications you are currently taking, and previous surgeries or hospitalizations. Be thorough and provide as much detail as possible.
04
If you have any specific health conditions or disabilities, make sure to include that information as well. This will help school staff provide appropriate support and accommodations if needed.
05
Provide emergency contact information, including the names, phone numbers, and relationships of individuals who should be contacted in case of a medical emergency.
06
Indicate whether you have any health insurance coverage and provide the necessary details, such as the insurance company name and policy number.
07
Lastly, make sure to sign and date the form. Some forms may require a parent or guardian's signature, especially if you are a minor.
Who needs a student health record:
01
Students of all ages require a student health record. This record helps school personnel, including nurses and other health professionals, to have essential medical information readily available in case of emergencies or daily health management needs.
02
Schools and educational institutions often require students to have a completed health record on file to ensure they can provide appropriate care and support during the school day.
03
Having a student health record is not only crucial for emergencies but also allows the school to take preventive measures or make accommodations based on each student's individual health needs. It ensures they can participate fully in school activities while maintaining their health and wellbeing.
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What is student health record?
Student health record is a document that contains information about a student's medical history, vaccinations, allergies, and any other health-related information.
Who is required to file student health record?
Parents or guardians of the student are usually required to file the student health record with the school or educational institution.
How to fill out student health record?
To fill out a student health record, parents or guardians must provide accurate information about the student's medical history, vaccinations, allergies, and any other relevant health information.
What is the purpose of student health record?
The purpose of a student health record is to ensure that schools have access to important health information in case of emergencies, and to help support the overall health and well-being of the student.
What information must be reported on student health record?
Student health records typically include information about the student's medical history, vaccinations, allergies, any medical conditions, and emergency contact information.
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