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Pratt Institute Student Health Insurance Plan 20162017 Student/Dependent Petition to Add Form(Please Print) Student Name LastFirstInitialHome Address StreetCityStateZip Codependent ID # Male Female
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01
Obtain the student health form from Pratt Institute.
02
Read and understand the instructions on the form.
03
Fill out your personal information accurately and neatly.
04
Provide your medical history, including any previous illnesses or conditions.
05
Fill out any additional sections or questions as required.
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Submit the completed form to the designated location or person.

Who needs pratt institute student health?

01
Pratt Institute student health is needed by all enrolled students at Pratt Institute.
02
It is important for students to have their health information on file to ensure proper care and support in case of any health-related issues that may arise during their time at the institute.
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Pratt institute student health is a program designed to provide healthcare services and resources to students at Pratt Institute.
All students enrolled at Pratt Institute are required to file for student health as part of their enrollment.
Students can fill out the Pratt Institute student health form online through the student portal or by visiting the health services office on campus.
The purpose of Pratt Institute student health is to ensure that students have access to necessary healthcare services and resources while attending the institute.
Students must report their medical history, insurance information, emergency contacts, and any specific health needs or concerns.
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