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Student Emergency Health Information Page 1 of 2 STUDENT INFORMATION First Names:* Last Name:* Middle Initial: Date of Birth:* Kindergarten WV EIS#: Grade:* Address:* City:* West Virginia State:*
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How to fill out student emergency health information

How to fill out student emergency health information
01
Obtain the student emergency health information form from the school.
02
Provide the necessary personal details of the student, such as name, date of birth, and contact information.
03
Fill out the medical conditions section by indicating any known allergies, chronic illnesses, or ongoing medical treatments.
04
Include a list of current medications being taken by the student, along with the prescribed dosage and frequency.
05
Provide emergency contact information for both parents/guardians and alternative contacts.
06
Indicate any specific instructions for the student's health management or care during school hours.
07
Sign and date the form to certify the accuracy of the provided information.
08
Return the completed form to the school administration or designated personnel.
Who needs student emergency health information?
01
Student emergency health information is needed by schools and educational institutions to ensure the safety and well-being of students.
02
It is necessary for school staff, teachers, and nurses to be aware of any medical conditions or special health considerations that a student may have.
03
In case of emergencies or medical situations, having access to this information allows the school to provide appropriate and timely care or contact the relevant individuals.
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What is student emergency health information?
Student emergency health information is a record of important medical details about a student that can be used in case of an emergency.
Who is required to file student emergency health information?
Parents or guardians of the student are typically required to file student emergency health information.
How to fill out student emergency health information?
Student emergency health information can usually be filled out on forms provided by the school or educational institution, and should include details such as medical conditions, allergies, medications, and emergency contact information.
What is the purpose of student emergency health information?
The purpose of student emergency health information is to ensure that school officials and medical personnel have access to important medical details in case of an emergency involving the student.
What information must be reported on student emergency health information?
Information that must be reported on student emergency health information typically includes medical conditions, allergies, medications, and emergency contact information.
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