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LCC PHYSICAL THERAPIST ASSISTANT PROGRAM HEALTH HISTORY AND PHYSICAL EXAMINATION FORM To be completed by Health Care Practitioner Students Full Name (printed): Student ID S#: Important Note to Health
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How to fill out student health form

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How to fill out student health form

01
To fill out a student health form, follow these steps:
02
Download the student health form from the school's website or obtain a physical copy from the school office.
03
Read the instructions carefully to understand the information required.
04
Start by filling out the personal details section, including the student's name, date of birth, address, and contact information.
05
Provide any necessary medical history, including allergies, chronic conditions, and previous surgeries or illnesses.
06
Fill in the immunization section, listing the dates and types of vaccines received.
07
If applicable, provide information about any medication the student is currently taking or needs to take during school hours.
08
If there are any specific health concerns or limitations, such as dietary restrictions or physical disabilities, make sure to mention them in the appropriate section.
09
Once you have completed all the required fields, review the form to ensure accuracy and completeness.
10
Sign and date the form, indicating your consent and understanding of the provided information.
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Submit the form to the school as instructed, either by mailing it, dropping it off at the school office, or using an online submission system.
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Remember to keep a copy of the filled-out form for your records.

Who needs student health form?

01
Any student who is enrolling in a school or participating in school activities may need to fill out a student health form.
02
This requirement is typically applicable to both new and returning students, regardless of their grade level or age.
03
The purpose of the form is to provide the school with important medical information about the student, which can help ensure their safety and well-being while on school premises or during school-related events.
04
Parents or guardians of the student are usually responsible for completing and submitting the student health form.
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The student health form is a document that collects important medical information about students, which is necessary for ensuring their health and safety while attending educational institutions.
Typically, all new students, including incoming freshmen and transfer students, are required to file a student health form before the start of their first semester.
To fill out the student health form, students should carefully read the instructions provided, enter their personal information accurately, provide details about their medical history, immunizations, and any medications they are currently taking. It's important to review the form for completeness before submission.
The purpose of the student health form is to gather essential health information that helps colleges and universities provide appropriate health services to students, emergency care when needed, and to promote a healthy campus environment.
Information typically required on the student health form includes personal details (name, date of birth), medical history, vaccination records, allergies, medications, and contact information for emergency contacts.
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