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Prairie State College Dental Hygiene Program Student Health History and Physical Evaluation Forepart 1 This form includes two parts. Please complete Part 1 and take it with you to your appointment
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How to fill out new student physical exam

01
Obtain the new student physical exam form from the school or educational institution.
02
Fill in your personal information such as name, date of birth, and contact details.
03
Provide information about your medical history, including any allergies, chronic conditions, or previous surgeries.
04
List any current medications you are taking.
05
Complete the immunization section by indicating the vaccines you have received and their dates.
06
Specify any special accommodations or limitations you may have for physical activities or sports.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form to the designated authority or school nurse.

Who needs new student physical exam?

01
New student physical exams are typically required for students who are enrolling in a school or educational institution for the first time.
02
This includes incoming kindergarten students, students transferring from another school district or institution, and students entering certain grade levels where physical exams are mandatory.
03
The specific requirements may vary depending on the school or educational institution's policies and local regulations.
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New student physical exam is a medical examination required for all incoming students to ensure they meet the health requirements of the educational institution.
All incoming students are required to file a new student physical exam.
New student physical exams can be filled out by a licensed healthcare provider and must be submitted to the school's health office.
The purpose of the new student physical exam is to ensure that incoming students are medically fit to participate in school activities.
The new student physical exam must include basic health information such as medical history, immunization records, and current health status.
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