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HHS HMS WMS NORMS Other: PARTICIPATION MEDICAL HISTORY/PHYSICAL EXAM REVISED 12414 17/18 Name: M F Date of Birth Grade STUDENTPARENT/GUARDIAN SECTIONMEDICAL EXAMINER Sections MEDICAL HISTORY FORM
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How to fill out student-parentguardian section medical examiner
How to fill out student-parentguardian section medical examiner
01
Start by locating the student-parent/guardian section on the medical examiner form.
02
Fill out the student's full name, date of birth, and school information.
03
Provide contact information for the parent or guardian, including their name, address, phone number, and email.
04
Indicate whether the parent or guardian gives consent for medical examinations and treatments.
05
If necessary, provide any additional information or instructions related to the student's health or medical history.
06
Sign and date the medical examiner form to certify the accuracy of the information provided.
Who needs student-parentguardian section medical examiner?
01
Any student who intends to participate in school activities or requires medical attention while at school needs to have the student-parent/guardian section of the medical examiner form filled out. This section ensures that the school has accurate information about the student's emergency contacts, medical history, and consent for medical procedures.
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What is student-parentguardian section medical examiner?
Student-parentguardian section medical examiner is a form that must be filled out by a medical professional to assess the health and medical needs of a student.
Who is required to file student-parentguardian section medical examiner?
Student's parents or guardians are required to file the student-parentguardian section medical examiner form.
How to fill out student-parentguardian section medical examiner?
The form must be filled out by a qualified medical professional, and all relevant medical information about the student must be accurately reported.
What is the purpose of student-parentguardian section medical examiner?
The purpose of the form is to ensure that the student's health needs are properly addressed while at school.
What information must be reported on student-parentguardian section medical examiner?
The form should include the student's medical history, current medications, allergies, and any specific health concerns.
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