
Get the free Student Health Center Checklist (All forms due July 1st): Description ...
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S STUDENT H HEALTH C ENTER R REQUIREMENTS
One Gustav L. Levy Place
Box 1260
New York, NY 10029Phone: (212) 2416023
Fax: (212) 2418008
student health×SSM.equal incoming students must complete the
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How to fill out student health center checklist

How to fill out student health center checklist
01
Step 1: Obtain a copy of the student health center checklist from the administrative office or download it from the school's website.
02
Step 2: Read the instructions provided on the checklist carefully.
03
Step 3: Begin by filling out personal information such as your name, date of birth, and student ID number.
04
Step 4: Provide details about your medical history, including any known allergies, chronic illnesses, or previous surgeries.
05
Step 5: Indicate any current medications you are taking, including the dosage and frequency.
06
Step 6: Answer questions regarding your immunization history, providing dates and types of vaccines received.
07
Step 7: Complete sections related to your mental health and any counseling services you may be utilizing.
08
Step 8: If applicable, disclose any disabilities or special accommodations you may require.
09
Step 9: Review your completed checklist for accuracy and completeness.
10
Step 10: Submit the checklist to the student health center, following the specified instructions.
Who needs student health center checklist?
01
Any student who wishes to utilize the services provided by the student health center needs to fill out the checklist.
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