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HIGHLAND SCHOOL 597 Broadview Avenue, Warren ton, VA 20186 t: 5408782700 Henry D. Berg, Head of School f: 5403475860 www.highlandschool.org Student Medical History and Medication Authorization Form
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How to fill out student medical history:

01
Start by reviewing the form: Begin by reading through the entire student medical history form to familiarize yourself with the information required and any specific instructions provided.
02
Gather necessary documents: Collect any relevant documents or records that may be required to accurately fill out the form. This can include immunization records, previous medical reports, or any relevant prescriptions.
03
Personal information: Begin by filling out the personal information section, including the student's full name, date of birth, address, and contact information. Ensure all details are accurate and up-to-date.
04
Medical history: Provide a comprehensive overview of the student's medical history. This can include any previous illnesses, surgeries, allergies, chronic conditions, or medications they are currently taking. Be as detailed as possible, including dates and specific information.
05
Immunization history: Fill out the section pertaining to the student's immunization history. Include details of all vaccinations received, along with the dates administered. Make sure to accurately represent the immunization status to comply with any legal requirements.
06
Parent or guardian information: If required, provide information about the student's parent(s) or guardian(s). This can include their names, contact details, and any necessary medical history information.
07
Emergency contacts: List emergency contact information for individuals who should be notified in case of a medical emergency. Include their names, phone numbers, and relationships to the student.
08
Signature and date: Once you have completed all the required sections of the form, carefully review all the information provided. Ensure it is accurate and sign the form, along with the date.

Who needs student medical history:

01
Schools and educational institutions: Student medical history is typically required by schools and other educational institutions to ensure the health and safety of their students. It helps them provide appropriate care and accommodation for students with specific medical needs.
02
Medical professionals: Student medical history may be requested by doctors, nurses, or other medical professionals who are treating or providing care for the student. It helps them understand the student's medical background and make informed healthcare decisions.
03
Emergency personnel: In case of a medical emergency involving a student, emergency personnel may need access to their medical history to provide prompt and effective treatment. It can help them identify any pre-existing conditions, allergies, or medications that may impact the treatment process.
Note: The specific requirements for student medical history may vary depending on the institution, country, or legal regulations in place. It is important to check with the relevant authorities or organizations to ensure compliance with their specific guidelines.
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Student medical history is a record of a student's past and current medical conditions, treatments, and medications.
Parents or guardians of students are required to file student medical history.
Parents or guardians can fill out student medical history by providing accurate information about the student's medical conditions, treatments, and medications on the designated form.
The purpose of student medical history is to ensure that schools are aware of any medical needs or conditions of their students and can provide appropriate care.
Information such as medical conditions, treatments, medications, and allergies must be reported on student medical history.
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