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MEDICAL FORM 1 Four Rivers Charter Public SchoolMED1 Also Complete Reverse Side. STUDENT HEALTH HISTORY 201718 (In Answering the Following Questions, Please Circle YES or NO) Name of Student: Grade:
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Start by reading and familiarizing yourself with the form.
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Provide personal information such as your name, address, and date of birth.
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Fill in your student health insurance information, including policy details and coverage periods.
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Indicate any pre-existing medical conditions or allergies you have.
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Specify any medications you are currently taking.
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What is forms med1 stu health?
Forms med1 stu health is a document used to report student health information.
Who is required to file forms med1 stu health?
All students are required to file forms med1 stu health.
How to fill out forms med1 stu health?
Forms med1 stu health can be filled out online or submitted in person at the designated office.
What is the purpose of forms med1 stu health?
The purpose of forms med1 stu health is to track and monitor student health information for medical purposes.
What information must be reported on forms med1 stu health?
Information such as medical history, current medications, allergies, and emergency contacts must be reported on forms med1 stu health.
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