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2015 STUDENT HEALTH RECORD 2015 ADDRESS: 1000 E. Main St. Building 1, Suite 106 Danville, IN 46122 MAILING PHONE: 765.658.4555 FAX: 317.718.8168 VISIT: DePauwHealth.org To drop off on campus: Student
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How to fill out student health record 5-29-2015docx:
01
Begin by opening the document titled "Student Health Record 5-29-2015docx".
02
Fill in the personal information section, including the student's name, date of birth, address, and contact information.
03
Provide the necessary details about the student's insurance coverage, including the name of the insurance provider and policy number.
04
Indicate any known allergies or medical conditions that the student has. If there are none, mark it as "N/A".
05
Next, fill out the immunization section of the form. Provide the dates and types of vaccines received by the student.
06
If the student has any specific medications or ongoing treatments, list them in the appropriate section. Include the dosage and frequency of administration.
07
If the student requires any special accommodations or has specific health-related needs, such as dietary restrictions or mobility assistance, note them in the designated area.
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Finally, sign and date the form to confirm its accuracy and completeness.
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Save the completed document and make a copy for personal records if needed.
Who needs student health record 5-29-2015docx:
01
Students: Any student attending a school or educational institution may need to fill out and submit a student health record to provide important medical information to the institution.
02
Parents/Guardians: In most cases, it is the responsibility of parents or legal guardians to fill out and submit the student health record on behalf of their child.
03
Educational institutions: Schools and universities require student health records to ensure the well-being and safety of students, and to provide appropriate medical care if needed. These records help them maintain a comprehensive understanding of each student's health history and specific needs.
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What is student health record 5-29-2015docx?
The student health record 5-29-2015docx is a document that contains information about the health status of a student as of May 29, 2015.
Who is required to file student health record 5-29-2015docx?
The student's guardian or parent is required to file the student health record 5-29-2015docx.
How to fill out student health record 5-29-2015docx?
The student health record 5-29-2015docx can be filled out by providing information about the student's medical history, current health status, and any medications or allergies.
What is the purpose of student health record 5-29-2015docx?
The purpose of the student health record 5-29-2015docx is to ensure that schools have updated and accurate information about the health status of their students for proper care and emergency situations.
What information must be reported on student health record 5-29-2015docx?
The student health record 5-29-2015docx must include information such as medical history, current health conditions, medications being taken, any allergies, and emergency contact information.
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