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NAME: DATE OF BIRTH: / / DUE JULY 1 HEALTH EVALUATION STUDENT HEALTH CENTER INCOMING STUDENT: This form is to be completed prior to your arrival on campus. It requires a brief health history, insurance

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Step 1: Gather all necessary documentation such as your medical records, insurance information, and any other relevant paperwork.

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Step 2: Review the form carefully to ensure you understand all the questions and requirements.

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Step 3: Begin filling out the form by providing your personal information such as your name, address, and contact details.

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Step 4: Answer the health-related questions accurately and honestly.

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Step 5: Provide any additional information or documentation that may be required, such as proof of vaccinations or recent medical test results.

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Step 8: Submit the completed form before the July 1 deadline.

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Anyone who is required to provide health information by the due July 1 deadline needs to fill out due July 1 health. This may include individuals applying for insurance, students enrolling in school, or employees submitting health-related forms to their employers.

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