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Trinity College Health Center 2017/2018 Flu Vaccine Screening Questionnaire×Please complete after reviewing the Flu Vaccine Information Statement (IS)*1) Are you sick with a fever 102 today? YesNo2)
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How to fill out trinity college health center

01
To fill out Trinity College Health Center form, follow these steps:
02
Obtain the form: You can find the form on the Trinity College Health Center website or visit the center in person to collect a physical copy.
03
Read the instructions: Carefully go through the instructions provided with the form to understand the requirements and guidelines.
04
Provide personal information: Fill in your full name, date of birth, contact details, and any other required personal information.
05
Medical history: Fill out the sections related to your medical history, including any previous illnesses, surgeries, or ongoing conditions.
06
Medications: List any medications you are currently taking, including dosage and frequency.
07
Allergies: Mention any known allergies or adverse reactions to medications or substances.
08
Emergency contacts: Provide contact details for one or more emergency contacts.
09
Signature: Sign the form to indicate that the information provided is accurate and complete.
10
Submit the form: Return the completed form to the Trinity College Health Center either in person, through mail, or as per their specified submission method.
11
It is recommended to double-check the form for any errors or incomplete information before submitting.

Who needs trinity college health center?

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Trinity College Health Center is available for various individuals who may need medical assistance or services, including:
02
- Trinity College students
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- Faculty and staff members of Trinity College
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- Visitors to Trinity College who require medical attention
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The health center caters to a wide range of healthcare needs, from routine check-ups to acute illness management and provides support to the Trinity College community.
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Trinity College Health Center is a medical facility on the campus of Trinity College that provides healthcare services to students, faculty, and staff.
All students, faculty, and staff at Trinity College are required to fill out the necessary forms for the Trinity College Health Center.
To fill out the Trinity College Health Center forms, individuals must provide their personal information, medical history, insurance details, and any current health concerns.
The purpose of Trinity College Health Center is to promote the health and wellness of the campus community by providing medical care, counseling services, and health education programs.
The Trinity College Health Center forms require individuals to report their contact information, medical history, current medications, allergies, and any pre-existing conditions.
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