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DOCUMENT RESUME SP 023 193ED 236 145 'TITLE INSTITUTION PUB DATE NOTE PUB TYPE, EARS PRICE DESCRIPTORSIDENTIFIERSStudent Health Mandate Report and Preliminary Recommendations. Illinois State Board

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How to fill out student health mandate report

01

Step 1: Retrieve the Student Health Mandate Report form from your school's website or obtain a physical copy from the health services office.

02

Step 2: Read the instructions carefully to ensure you understand the requirements and the information you need to provide.

03

Step 3: Fill in your personal details such as your name, student ID, date of birth, and contact information.

04

Step 4: Provide information about your current health status, any pre-existing medical conditions, and any medications you are taking.

05

Step 5: Answer any additional questions or sections regarding immunization history, recent medical treatment, or allergies.

06

Step 6: Review the completed form to ensure all information is accurate and legible.

07

Step 7: Sign and date the form to certify that the information provided is true and accurate.

08

Step 8: Submit the completed form according to the instructions provided. This may involve returning it to the health services office, uploading it online, or mailing it to a specified address.

09

Step 9: Keep a copy of the completed form for your records.

Who needs student health mandate report?

01

Any student attending the school who is required to provide information about their health status and medical history.

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