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03.02.01.05 MEDICAL QUESTIONNAIRE 1. PERSONAL DETAILS (please write in capital letters) Mr. Mrs. Miss Family Name First name Fathers first name Mothers first name Date of Birth: Day Month Year Address
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How to fill out a medical questionnaire - ecole?

01
Start by reading the instructions: Before you begin filling out the medical questionnaire - ecole, it is essential to carefully read the accompanying instructions. These instructions will provide guidance on what specific information needs to be provided and how to properly fill out the questionnaire.
02
Provide accurate personal information: The medical questionnaire - ecole typically requires you to provide personal details such as your full name, contact information, date of birth, and any relevant identification numbers. Ensure that you enter this information accurately to avoid any confusion or potential mix-ups.
03
Detail your medical history: One of the main purposes of the medical questionnaire - ecole is to gather information about your medical history. It is crucial to be thorough and honest when providing this information. Include any pre-existing medical conditions, allergies, surgeries, or medications you are currently taking. This information helps the school assess your health needs and provide appropriate care if necessary.
04
Provide emergency contact details: In case of any medical emergencies, it is vital to list the contact information for a designated emergency contact person. This person should be someone who can be reached readily and is aware of your medical history and any specific needs.
05
Date and sign the questionnaire: Once you have filled out all the required sections of the medical questionnaire - ecole, make sure to date and sign it. By signing, you are indicating that the information provided is accurate and complete to the best of your knowledge.

Who needs a medical questionnaire - ecole?

01
Students: The primary individuals who need to fill out a medical questionnaire - ecole are students who are enrolling or applying to a specific school or educational institution. This questionnaire helps the school assess any potential health risks, provide necessary accommodations, and ensure the overall well-being of the student.
02
Parents or guardians: In the case of minor students, it is the responsibility of their parents or legal guardians to fill out the medical questionnaire - ecole on their behalf. Parents are expected to provide accurate medical information and emergency contact details to ensure the school is aware of any health concerns.
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School faculty and staff: In some cases, school faculty and staff members may also be required to complete a medical questionnaire - ecole. This ensures that the school is aware of any potential health issues among its employees and can take appropriate measures to provide a safe and supportive working environment.
Remember, the specific requirements and procedures for filling out a medical questionnaire - ecole may vary depending on the educational institution. It is essential to carefully follow the given instructions and provide accurate information to ensure the best possible care and support during your time at the school.
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