Get the free SRJC Health History Form - dentalprograms.santarosa.edu - dentalprograms santarosa

SRC Health History Form Name: Home Phone () Cell Phone () LastFirstMiddleAddress City State Zip Code P.O. Box or mailing addressOccupation Business Phone Date of Birth / / Sex: M F Email Text message

How to fill out srjc health history form

How to fill out srjc health history form

1. Start by obtaining a blank copy of the SRJC Health History Form from the official website or the designated department.
2. Begin by providing your personal information such as your full name, date of birth, address, phone number, and email address.
3. Move on to the medical history section and carefully fill out all the questions related to your past and present health conditions, medications, allergies, surgeries, and hospitalizations.
4. If any section is not applicable to you, indicate it clearly by writing 'N/A' or 'Not Applicable'.
5. Pay close attention to specific instructions, such as marking checkboxes or providing additional details where necessary.
6. Make sure to sign and date the completed form to certify the accuracy of the information provided.
7. Double-check your filled-out form for any errors or missing information before submitting it.
8. Finally, submit the filled-out SRJC Health History Form to the appropriate department or follow the given instructions for submission.

Who needs srjc health history form?

1. Anyone who is applying for admission to SRJC (Santa Rosa Junior College) needs to fill out the SRJC Health History Form. This includes new students, transfer students, and returning students who have not filled out the form in the past academic year.

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What is srjc health history form?

The srjc health history form is a document that students must complete to provide information about their medical history and any health conditions that may affect their studies.

Who is required to file srjc health history form?

All incoming students to SRJC are required to file the health history form before enrolling in classes.

How to fill out srjc health history form?

The srjc health history form can be filled out online through the student portal or downloaded from the SRJC website and submitted in person.

What is the purpose of srjc health history form?

The purpose of the srjc health history form is to ensure that the college is aware of any medical conditions that may require accommodation or affect the student's ability to participate in classes.

What information must be reported on srjc health history form?

Students must report any chronic conditions, allergies, medications, and emergency contact information on the srjc health history form.