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Health Form, Part I TO ENROLL AT STONY BROOK, COMPLETE BOTH PAGES OF THIS FORM AND MAIL OR FAX DIRECTLY TO: Director, Student Health Service Stony Brook University Stony Brook, NY 117943191 Fax: (631)
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Read the instructions carefully before you begin filling out the health form part i.
02
Provide accurate and up-to-date personal information.
03
Start by entering your full name, date of birth, and contact details.
04
Fill in the sections related to medical history, such as any existing conditions or allergies.
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Answer all the questions honestly and to the best of your knowledge.
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If you are unsure about any specific question, consult a healthcare professional for guidance.
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Ensure that you sign and date the form once you have completed filling it out.
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Review the completed form for any errors or missing information before submitting it.

Who needs health form part i?

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Anyone visiting a healthcare facility or seeking medical services is required to fill out health form part i.
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Patients admitted to hospitals, clinics, or other healthcare institutions need to complete this form.
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Individuals undergoing medical examinations or treatments must also provide the necessary information in health form part i.
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Parents or legal guardians are responsible for filling out this form for children or dependents.
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It is essential for everyone seeking medical attention to complete health form part i accurately.
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Health form part I is a document that collects basic personal information and medical history of an individual.
Health form part I is required to be filed by all individuals seeking medical treatment or services.
Health form part I can be filled out by providing accurate and complete information about personal details and medical history.
The purpose of health form part I is to help healthcare providers assess the medical conditions and history of the patient for better treatment.
Information such as patient's name, age, contact details, medical history, current medications, and any allergies must be reported on health form part I.
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