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HEALTH FORM 2010-2011 Poly Prep Lower School 50 Prospect Park West Brooklyn, NY 11215 718-768-1103 Fax 718-768-1687 REQUIRED FOR NEWLY ADMITTED AND RETURNING STUDENTS Poly Prep Lower School requires
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Start by carefully reading the instructions provided on the form. Make sure you understand what information is being requested and why it is important.
02
Begin by filling out your personal details accurately. This may include your full name, date of birth, address, and contact information.
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Next, provide details about your medical history. Answer questions related to any pre-existing conditions, allergies, or medications that you are currently taking. Be thorough and honest in your responses.
04
It is important to provide emergency contact information. Include the name, relationship, and contact number of a person who can be reached in case of an emergency.
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If applicable, provide information about your health insurance coverage. This may include the name of the insurance provider, policy number, and any other relevant details.
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Review the form carefully before submitting it. Make sure all information provided is accurate and complete. If you have any doubts or concerns, seek clarification from a medical professional or the designated authority responsible for the form.
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Finally, sign and date the form to certify that the information you have provided is true and accurate to the best of your knowledge.

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New students who are enrolling in a school or educational institution may be required to fill out the new student medical formdoc.
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Schools and institutions often require this form to ensure they have accurate and up-to-date medical information about their students. This helps them provide appropriate care and support in case of any illness, injury, or emergency situation.
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The new student medical formdoc is essential for creating a safe and healthy environment for all students by allowing the school to be aware of any medical concerns or conditions that may require special attention or accommodations.
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The new student medical formdoc is a document that collects medical information about new students.
All new students are required to file the new student medical formdoc.
To fill out the new student medical formdoc, students must provide accurate and detailed information about their medical history.
The purpose of the new student medical formdoc is to ensure that schools have necessary medical information to provide proper care for students.
Information such as allergies, medications, medical conditions, and emergency contacts must be reported on the new student medical formdoc.
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