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IMPORTANT HEALTH INFORMATION
FOR ALL NEWLY ADMITTED
INTERNATIONAL Students University of Northern Iowa Student Health Service staff provides a wide array of medical care: mental health
services, immunizations/allergy
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How to fill out student health clinic form
How to fill out student health clinic form
01
Get a copy of the student health clinic form from the clinic or the school administration.
02
Read the instructions carefully before filling out the form.
03
Start by providing your personal information such as your full name, date of birth, and contact details.
04
Next, answer the questions about your medical history. Be honest and provide accurate information.
05
If you have any current health issues or medications, make sure to list them in the appropriate section.
06
Fill out the emergency contact details, including the name and phone number of a person to be contacted in case of an emergency.
07
Review the form for any mistakes or missing information before submitting it.
08
Sign and date the form to certify that the information provided is true and accurate.
09
Return the completed form to the student health clinic or the designated location.
Who needs student health clinic form?
01
Any student who wishes to utilize the services of the student health clinic needs to fill out the student health clinic form.
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What is student health clinic form?
Student health clinic form is a document used to record health information of students.
Who is required to file student health clinic form?
All students attending the school or university must file the student health clinic form.
How to fill out student health clinic form?
To fill out the form, students need to provide personal and medical information as requested on the form.
What is the purpose of student health clinic form?
The purpose of the form is to ensure that the health needs of students are properly addressed by the health clinic.
What information must be reported on student health clinic form?
Information such as medical history, allergies, medications, emergency contacts, and insurance details must be reported on the form.
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