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STUDENT HEALTH CLEARANCE Name: School: Home Address: Program: Home/Cell Telephone Number: Annual Physical Assessment Date: Flu Vaccination Date: (Within 1 year) Varicella Tier Date: Negative Positive/Immune
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How to fill out student health clearance

01
To fill out student health clearance, follow these steps:
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Obtain the student health clearance form from the relevant authority or institution.
03
Read the instructions provided on the form carefully.
04
Provide personal information such as name, date of birth, and contact details.
05
Fill in the medical history section, including any pre-existing conditions, allergies, or medications.
06
Provide details of any immunizations received, including dates and types of vaccines.
07
If required, obtain a medical examination or certification from a healthcare professional.
08
Ensure all information provided is accurate and up-to-date.
09
Sign and date the form, acknowledging the accuracy of the information provided.
10
Submit the completed student health clearance form to the designated authority or institution.
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Follow any additional instructions provided by the authority or institution regarding submission or further requirements.

Who needs student health clearance?

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Student health clearance is typically required for:
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- Students enrolling in educational institutions, such as schools, colleges, or universities.
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- Students participating in extracurricular activities or sports.
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- Students attending camps or other organized programs.
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- Students traveling abroad for educational purposes.
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- Students residing in dormitories or shared accommodation.
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Student health clearance is a document or form that verifies a student's health status and ensures they meet certain health requirements to participate in school activities.
All students attending school or participating in school activities are required to file student health clearance.
Student health clearance can be filled out by providing information about the student's medical history, immunization records, and any medical conditions or medications they may have.
The purpose of student health clearance is to ensure that students are in good health and do not pose a risk to themselves or others in the school environment.
Student health clearance may require information such as immunization records, medical history, emergency contact information, and any allergies or health conditions.
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