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DELAWARE STUDENT HEALTH FORM ADOLESCENT Grades 7-12 To be completed by licensed healthcare provider: Physician (MD or DO), Clinical Nurse Specialist (APN), Advanced Practice Nurse (APN), or Physician

How to fill out delaware student health form

How to fill out the Delaware Student Health Form:

1. Download the form: Start by visiting the Delaware Student Health Services website and download the health form. It is usually available in a PDF format.
2. Fill out personal information: Begin by entering your personal information accurately. Include your full name, date of birth, student ID number, and contact details.
3. Medical history and vaccinations: Provide information about your medical history, including any past illnesses, allergies, surgeries, or chronic conditions. Include dates and details to the best of your knowledge. Also, list all the vaccinations you have received and their respective dates.
4. Emergency contacts: Fill in the emergency contact section. Include the names, phone numbers, and relationships of at least two people who can be contacted in case of an emergency.
5. Insurance details: If available, provide your health insurance information, including the name of the insurance company, policy number, and any pertinent details.
6. Consent and signature: Read through the consent statements carefully and sign the form to indicate that all the information provided is accurate to the best of your knowledge. If you are under 18 years old, a parent or guardian must also sign the form.
7. Submit the form: Once you have completed filling out the form, make multiple copies for your own records. Then, submit the original form to the appropriate department indicated on the form. This could be your school's health services office or the designated authority.

Who needs the Delaware Student Health form?

1. Delaware students: Any student who attends school in Delaware, whether it be a K-12 institution or a higher education institution, will usually need to fill out the Delaware Student Health Form.
2. New students: It is particularly important for new students to complete the form as it helps schools and institutions gather essential health information and ensure the safety and well-being of the student.
3. Student-athletes: If you plan to participate in any sports or athletic activities, it is likely that you will be required to provide a completed Delaware Student Health Form. This is to ensure that you are physically fit for participation and to be aware of any potential health concerns.
4. Students with specific medical conditions: Students who have known medical conditions or require specific medical accommodations may need to provide a completed Delaware Student Health Form. This allows schools and institutions to be prepared and provide necessary support or treatment when needed.

Note: Since specific requirements may vary between schools and institutions, it is always recommended to check with your educational institution for any additional or specific health form requirements and submission guidelines.

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What is delaware student health form?

The delaware student health form is a document that collects information about a student's health history, allergies, medications, and emergency contacts.

Who is required to file delaware student health form?

All students attending school in Delaware are required to file the student health form.

How to fill out delaware student health form?

The delaware student health form can be filled out online or using a paper form provided by the school. It requires information about the student's medical history, vaccinations, and emergency contacts.

What is the purpose of delaware student health form?

The purpose of the delaware student health form is to ensure that schools have accurate and up-to-date information about students' health needs and can provide appropriate care in case of emergencies.

What information must be reported on delaware student health form?

The delaware student health form typically requires information about the student's medical history, allergies, medications, vaccinations, and emergency contacts.