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TMB STUDENT HEALTH IMMUNIZATION RECORD Name: Date of Birth: Student ID #: TMB For Currently Enrolled / Returning Students TMB For New Prospective/Incoming Students Circle School: SOME SHP SONG SBS
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How to Fill Out UTMB Student Health:

01
Visit the UTMB Student Health website or go to the Student Health Center on campus.
02
Provide your personal information, such as name, date of birth, and contact information.
03
Fill out the necessary medical history forms, including any known allergies, current medications, and previous medical conditions.
04
Indicate your insurance information, if applicable, and provide any necessary documentation or ID numbers.
05
Answer questions about your immunization history, including providing dates and types of vaccinations received.
06
Specify any pre-existing medical conditions or ongoing treatments you may have.
07
Provide emergency contact information in case of any medical issues.
08
Read and agree to any terms and conditions or consent forms required before submitting your information.
09
Review the completed form for accuracy and make any necessary corrections.
10
Submit the form electronically or in-person at the designated location.

Who Needs UTMB Student Health:

01
All students enrolled at the University of Texas Medical Branch (UTMB) are required to have UTMB student health coverage.
02
This includes undergraduate, graduate, and professional students at UTMB.
03
UTMB Student Health provides medical services and insurance coverage for students, ensuring access to healthcare while studying at UTMB.
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UTMB Student Health is a service provided by the University of Texas Medical Branch to address the healthcare needs of students.
All students enrolled at UTMB are required to fill out the UTMB Student Health forms.
Students can fill out the UTMB Student Health forms online through the university's student health portal.
The purpose of UTMB Student Health is to ensure that students have access to necessary healthcare services while enrolled at the university.
Students must report their medical history, current medications, allergies, and contact information on the UTMB Student Health forms.
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