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THE SCHOOL DISTRICT OF PHILADELPHIA STUDENT MEDICAL HISTORY Name of Student Date of Birth Date Name of School Room×Book×Section Grade Dear Parent×Guardian: Pennsylvania law requires that all children
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How to fill out student medical history:

01
Gather necessary information: Before starting to fill out the student medical history, make sure you have all the required information at hand. This may include the student's personal details, such as name, date of birth, and emergency contact information.
02
Obtain relevant medical records: If the student has any existing medical conditions, it is important to obtain their medical records to accurately fill out their medical history. This can be done by contacting their previous healthcare providers or requesting the records from the relevant institutions.
03
Start with basic information: Begin by filling out the basic information section of the student medical history form. This usually includes details like the student's name, date of birth, address, and contact information. Ensure that all the information provided is correct and up-to-date.
04
Medical conditions: In this section, list any current or past medical conditions the student has experienced. Include details such as the name of the condition, the date of diagnosis, and any relevant treatments or medications. It is crucial to be as specific and accurate as possible when documenting medical conditions.
05
Allergies: Document any known allergies the student has, whether it be to food, medications, or environmental factors. Include specific details about the type of allergic reaction experienced and any necessary treatments or precautions.
06
Medications: List any medications the student is currently taking, including the name, dosage, and frequency. It is essential to provide accurate information to ensure the student's safety in case of emergencies or when healthcare professionals need to administer medication.
07
Immunizations: Document the student's immunization history, including dates of vaccines received. This plays a crucial role in preventing the spread of contagious diseases within educational settings. Ensure that the immunization records are complete and up-to-date according to the requirements of the educational institution or local regulations.
08
Family medical history: Include any relevant family medical history that may be important for the student's healthcare management. This can include conditions such as diabetes, heart disease, or cancer, which may have a genetic component.

Who needs student medical history?

Schools, colleges, universities, and other educational institutions typically require student medical histories. This information is vital to ensure the health and well-being of students during their time in the educational setting. It allows healthcare professionals and school staff to be aware of any underlying medical conditions, allergies, or medications that may require special attention or emergency management. Student medical histories also enable educational institutions to create a safe and inclusive environment by implementing appropriate healthcare policies and accommodations for students with unique medical needs.
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Student medical history is a record of a student's past and current health conditions, treatments, medications, and allergies.
Parents or guardians of the student are usually required to file the student medical history.
Student medical history forms can usually be filled out online or on paper and typically require information such as past medical conditions, surgeries, medications, and allergies.
The purpose of student medical history is to provide schools and healthcare providers with important information about a student's health to ensure proper care and treatment.
Information such as past medical conditions, surgeries, hospitalizations, medications, allergies, and current health status must be reported on student medical history.
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