
North Carolina Community College Student Medical Form 2003-2025 free printable template
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NAME: PROGRAM: Student Medical Form for North Carolina Community College System Institutions Revised 2003 PAGE 2 BLANK (Please print in black ink) FOR INDIVIDUAL SCHOOLS TO EDIT To be completed by
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How to fill out North Carolina Community College Student Medical Form
01
Obtain the North Carolina Community College Student Medical Form from the college's website or admissions office.
02
Read the instructions carefully before filling out the form.
03
Provide your personal information such as name, date of birth, and student ID number.
04
Fill in your emergency contact details.
05
List any pre-existing medical conditions or disabilities.
06
Include information about any medications you are currently taking.
07
Complete the immunization record section with accurate vaccination history.
08
Sign and date the form to verify the information is complete and accurate.
09
Submit the form to the designated college office by the specified deadline.
Who needs North Carolina Community College Student Medical Form?
01
All incoming students enrolling in North Carolina Community Colleges are required to complete the Student Medical Form.
02
Students who intend to participate in programs that require access to health services or have practical training components.
03
Students with specific medical conditions that require monitoring or accommodations.
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Date/Time Formats FormatDescriptionMM/DD/YYYYTwo-digit month, separator, two-digit day, separator, four-digit year (example: 12/15/1999)YY/MMM/DDYY/MMM/DD Two-digit year, separator, three-letter abbreviation of the month, separator, two-digit day (example: 99/JUL/20)46 more rows
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Definition: The date on which the person was born.
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The date on which a PERSON was born or is officially deemed to have been born.
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What is North Carolina Community College Student Medical Form?
The North Carolina Community College Student Medical Form is a document that collects health-related information from students in order to ensure their well-being and to provide appropriate health services as needed during their time at the college.
Who is required to file North Carolina Community College Student Medical Form?
Students who are enrolling in North Carolina Community Colleges, particularly those participating in certain programs that involve physical activities or clinical placements, are typically required to file the North Carolina Community College Student Medical Form.
How to fill out North Carolina Community College Student Medical Form?
To fill out the North Carolina Community College Student Medical Form, students should provide accurate personal information, complete the medical history section, include any allergies or medical conditions, and sign the form to certify its accuracy. It may also require a healthcare provider's signature.
What is the purpose of North Carolina Community College Student Medical Form?
The purpose of the North Carolina Community College Student Medical Form is to gather necessary health information to assess students' health needs, facilitate access to health services, and ensure the safety and welfare of all students.
What information must be reported on North Carolina Community College Student Medical Form?
The information that must be reported on the North Carolina Community College Student Medical Form typically includes personal and contact information, medical history, current medications, allergies, vaccination records, and any relevant health conditions or disabilities.
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