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UNC Vaccination Waiver Request This form must be completed and submitted to Student Health in lieu of or in addition to the Student Immunization form when a student is requesting a waiver of immunization
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Start by gathering all the required information and documents of the new student and their family.
02
Fill out the personal information of the new student, including their name, date of birth, address, and contact details.
03
Provide details about the student's family members, including their names, ages, and relationships to the student.
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Fill out the medical history section by providing information about any existing medical conditions or allergies.
05
Provide information about the student's primary healthcare provider, including their name and contact details.
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Include any additional information or special requests related to the student's healthcare needs.
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Review the filled form for accuracy and completeness before submitting it.
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Submit the completed new students family medicine form to the appropriate department or healthcare provider.

Who needs new students family medicine?

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New students who require family medicine services.
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New students family medicine refers to a form or document that contains information about a new student's medical history, medications, allergies, and any existing health conditions.
New students, or their parents/guardians if they are minors, are required to fill out and file the new students family medicine form.
To fill out the new students family medicine form, one must provide accurate information about their medical history, allergies, medications, and existing health conditions.
The purpose of the new students family medicine form is to provide healthcare professionals with essential information about a student's medical background in case of emergencies.
Information such as medical history, allergies, medications, and existing health conditions must be reported on the new students family medicine form.
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