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Health Services Wellness Center Phone: (845) 5693152 Fax: (845) 5693514 Medical History, Physical Examination and Immunization Form Completed forms should be returned to MSC Health Services by August
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How to fill out new student medical history

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How to fill out new student medical history:

01
Begin by obtaining the official new student medical history form from the educational institution or healthcare provider.
02
Carefully read and understand the instructions provided on the form. Familiarize yourself with the specific sections and details required.
03
Start by providing the student's personal information such as their full name, date of birth, address, and contact information.
04
Proceed to fill out details regarding the student's previous medical history, including any chronic conditions, allergies, surgeries, hospitalizations, or ongoing medications.
05
Ensure to accurately document any significant injuries, illnesses, or medical conditions the student has experienced in the past. This information is crucial for providing appropriate medical care if needed.
06
If the new student has any known allergies, make sure to specify the allergens and their respective reactions. This information is vital for ensuring the student's safety and well-being.
07
Include information about the student's immunization history, listing the dates of vaccines received and any relevant booster shots required.
08
Provide details about the student's primary healthcare provider or pediatrician, including their name, contact information, and any additional notes if necessary.
09
If the student is currently under any specific medical treatment or therapy, accurately document the details, including the healthcare provider's name, treatment plan, and any ongoing medications.
10
Once all the required sections are completed, review the information thoroughly to ensure its accuracy and completeness.
11
Finally, sign and date the form as required. Additionally, ensure that any necessary parental or guardian consent is obtained if the student is a minor.

Who needs new student medical history?

01
Educational institutions: Schools, colleges, and universities often require new student medical history to ensure the well-being and safety of their students. This information helps them address any potential health issues and provide appropriate care if needed.
02
Healthcare providers: Doctors, nurses, and healthcare professionals use new student medical history to understand a student's health background and address any potential medical concerns. This information aids in making informed decisions about their care and treatment.
03
Parents or guardians: New student medical history is essential for parents or guardians to provide accurate healthcare information and ensure appropriate medical care is available for their child if necessary. It helps professionals understand and address any specific needs the student may have.
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New student medical history is a record of a student's past and current medical conditions, treatments, and allergies.
All new students are required to file new student medical history.
New student medical history can be filled out by providing information about medical conditions, treatments, allergies, and contact information for emergency situations.
The purpose of new student medical history is to provide schools with important information about a student's health in case of emergencies.
Information such as medical conditions, treatments, allergies, and emergency contact information must be reported on new student medical history.
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