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Office of Study Abroad Levering Hall 04B, 3400 North Charles Street, Baltimore, MD 21218 4105167856 Fax 4105167878 abroad JHU.edu STUDENT MEDICAL DISCLOSURE and DISABILITY ACCOMMODATION REQUEST (TO

How to fill out student medical disclosure and

How to fill out student medical disclosure and:

1. Obtain the student medical disclosure form from the relevant institution or organization.
2. Read the instructions and guidelines provided on the form carefully.
3. Fill out the student's personal information accurately, including their full name, date of birth, and contact information.
4. Provide details about any pre-existing medical conditions or allergies that the student may have.
5. Include information about the student's primary healthcare provider, including their name, contact information, and any pertinent medical history.
6. If applicable, disclose any medications that the student is currently taking and the dosage.
7. Sign and date the form to certify that all the provided information is true and accurate.
8. Submit the completed form to the appropriate person or department as specified on the form.

Who needs student medical disclosure and:

1. Students enrolling in educational institutions such as schools, colleges, or universities typically need to fill out a student medical disclosure.
2. Student athletes participating in school or club sports programs may be required to submit a medical disclosure form.
3. Students attending summer camps, study abroad programs, or other organized activities may also need to provide a student medical disclosure.

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What is student medical disclosure?

Student medical disclosure is a form or document where students provide information about their medical history, conditions, and any medications they may be taking.

Who is required to file student medical disclosure?

Students who are enrolling in a specific program or institution that requires the disclosure of medical information.

How to fill out student medical disclosure?

Students can fill out the student medical disclosure form by providing accurate and complete information about their medical history, conditions, and medications.

What is the purpose of student medical disclosure?

The purpose of student medical disclosure is to ensure that the program or institution is aware of any medical conditions or medications that may affect the student's participation or health while enrolled.

What information must be reported on student medical disclosure?

Students must report their medical history, current medical conditions, and any medications they are taking, including dosage and frequency.