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CMA HEALTH RECORD Medical Assisting Technical Ability Standards 2400 West Bradley Avenue Champaign, Illinois 61821 www.parkland.edu 217/3512224 Students matriculating in and graduating from any Parkland
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How to fill out the health form - Parkland:

01
Start by obtaining the health form from the designated location or website of Parkland.
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Carefully read and understand all the instructions provided on the form. Take note of any specific requirements or sections that need to be completed.
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Begin by filling out your personal information accurately and legibly. This may include your full name, date of birth, address, contact information, and any other details requested.
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Proceed to provide your medical history. Be thorough and honest while disclosing any existing medical conditions, allergies, or past surgeries. If you are unsure about any details, it is recommended to consult your healthcare provider.
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If required, complete the section related to your immunization history. This may involve providing dates and details of vaccinations or titers.
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In case you have health insurance coverage, mention the details of your insurance provider, policy number, and any relevant information requested.
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Who needs the health form - Parkland:

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Health form - parkland is a required form that provides information about an individual's current health status.
All students, faculty, and staff are required to file the health form - parkland.
Health form - parkland can be filled out online through the parkland website or in person at the health services office.
The purpose of health form - parkland is to ensure the safety and well-being of the parkland community by identifying any potential health risks.
Health form - parkland requires information on medical history, current medications, allergies, and emergency contacts.
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