Get the free Student Medical History - Walla Walla Community College - asb wwcc

WALL COMMUNITY COLLEGE Student Medical History (Information is kept Confidential) Student Name: SID: Medical Insurance: Yes No If yes, Insurance Company: Policy # (Please Print Clearly). Medical Conditions:

How to fill out student medical history

How to fill out student medical history:

1. Obtain the necessary forms: Contact the school or educational institution to obtain the specific student medical history form. This form will typically ask for personal information, including the student's full name, date of birth, and contact information.
2. Provide personal and emergency contact information: Fill in the section that asks for personal information, which may include the student's address, phone number, and email address. Also, provide emergency contact information, including the name, phone number, and relationship to the student of the person to be contacted in case of an emergency.
3. Document medical conditions and allergies: Indicate any medical conditions the student may have, whether chronic or temporary. List any allergies to medications, foods, or environmental factors, as well as any known reactions or symptoms associated with these allergies.
4. Include information on current medications: If the student is currently taking any medications, provide the names, dosages, and frequencies of administration. It is important to mention both prescription and over-the-counter medications.
5. Mention previous surgeries or hospitalizations: Document any relevant surgical procedures or hospitalizations the student has undergone in the past. Include the date, reason for the procedure or hospitalization, and any complications or noteworthy information.
6. Detail immunization history: Fill in the section dedicated to immunization history. Provide dates and types of vaccines received, ensuring that all required vaccinations are up to date according to the school's policy or state regulations.
7. Include details of regular healthcare providers: If the student has a primary care physician, pediatrician, or any other regular healthcare providers, provide their names and contact information. This will assist the school in contacting medical professionals if needed.

Who needs student medical history?

1. Schools and educational institutions: Student medical histories are typically required by schools to ensure the safety and well-being of students. This information allows school staff to be aware of any medical conditions, allergies, or medications that may require special attention or emergency procedures.
2. School nurses and healthcare professionals: Student medical history is essential for school nurses and healthcare professionals, as it provides them with important information about each student's health. They can refer to this information in case of emergencies or when providing healthcare services within the school environment.
3. Parents and guardians: By providing student medical history, parents and guardians are actively participating in their child's healthcare management. They play a crucial role in ensuring that the school has accurate and up-to-date information about their child's medical conditions, allergies, and medications, thus enabling the school to provide appropriate care if necessary.

Note: It is important to respect the privacy and confidentiality of student medical history information. Schools and healthcare professionals should handle this information in accordance with applicable laws and regulations regarding data protection and privacy.

For pdfFiller’s FAQs

What is student medical history?

Student medical history is a record of a student's past and current medical conditions, treatments, and medications.

Who is required to file student medical history?

Parents or guardians of the student are typically required to file student medical history.

How to fill out student medical history?

Student medical history forms can usually be filled out online or on paper, providing information about the student's health and medical background.

What is the purpose of student medical history?

The purpose of student medical history is to ensure that schools are aware of any medical conditions or needs the student may have in order to provide appropriate care and support.

What information must be reported on student medical history?

Student medical history typically includes information about allergies, past illnesses, surgeries, medications, and any chronic conditions.

Where do I find student medical history?

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