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Get the free Pre-College Program Student Health and Emergency Form - precollege adelphi

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Office of High School and PreCollege Programs Nexus Building, Room 104 One South Ave. Garden City, NY 11530 P 516.877.3046 F 516.877.3039PreCollege Program Student Health and Emergency Form GENERAL
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How to fill out pre-college program student health

01
Obtain the pre-college program student health form from the program administration.
02
Fill out your personal information such as name, date of birth, address, and contact details.
03
Indicate any pre-existing medical conditions or allergies that the program staff should be aware of.
04
Provide details of your health insurance coverage, including the insurance company's name, policy number, and contact information.
05
Complete the emergency contact information section, including the names and phone numbers of individuals who should be notified in case of an emergency.
06
If necessary, sign and date the form to certify that the information provided is accurate and complete.
07
Return the filled-out form to the program administration by the specified deadline.

Who needs pre-college program student health?

01
Pre-college program students who are participating in the program.
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Pre-college program student health refers to the medical and health information of students participating in pre-college programs.
Parents or guardians of students enrolled in pre-college programs are required to file pre-college program student health.
Pre-college program student health forms can typically be filled out online or submitted in person with the required medical information.
The purpose of pre-college program student health is to ensure that students have disclosed any medical conditions or allergies that could impact their participation in the program.
Information such as medical history, current medications, allergies, emergency contacts, and insurance information must be reported on pre-college program student health forms.
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