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RSU No 5 Durham Freeport Portal STUDENT HEALTH HISTORY To be completed annually by Parent/Guardian Student Name: Date of Birth: Grade: Please check any EMERGENCY Health Conditions that your child
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How to fill out student health history

How to fill out student health history
01
To fill out a student health history form, follow these steps:
02
Obtain the student health history form from the school or educational institution.
03
Read the instructions provided on the form carefully.
04
Gather all relevant medical information about the student, including their prior medical conditions, allergies, medications, immunization records, and any chronic illnesses.
05
Provide accurate and detailed information for each section of the form, such as personal information, family medical history, and emergency contact details.
06
If any section of the form requires additional documentation, ensure to attach the necessary medical reports or records.
07
Double-check the completed form for any errors or missing information.
08
Sign and date the form, indicating your consent for the school or educational institution to access and use the provided health information for the student's well-being.
09
Submit the filled-out student health history form to the appropriate authority or office within the school or educational institution.
10
Keep a copy of the completed form for your records.
11
Update the student health history form whenever there are changes in the student's medical condition or contact information.
Who needs student health history?
01
Student health history is needed by schools and educational institutions to ensure the well-being and safety of the students.
02
Specifically, the following groups or individuals may require access to student health history:
03
- School administrators and staff who are responsible for the overall management and safety of the students.
04
- School nurses or healthcare providers who need the information to provide appropriate medical care and support during school hours.
05
- Emergency responders or medical professionals in case of any health-related emergencies.
06
- Teachers or coaches who may need awareness of certain medical conditions or allergies to ensure a safe and inclusive learning environment.
07
- Parents or legal guardians who may need to update or provide consent for specific medical treatments or interventions.
08
By having access to accurate and up-to-date student health history, schools can effectively address any medical needs, provide necessary accommodations, and ensure the overall well-being of the students.
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What is student health history?
Student health history is a document that records a student's medical background, including past illnesses, surgeries, allergies, immunizations, and other relevant health information.
Who is required to file student health history?
Students entering a new educational institution, particularly in primary, secondary, or higher education, are typically required to file a student health history.
How to fill out student health history?
To fill out student health history, individuals should collect all relevant medical information, complete the provided form accurately, and ensure all required signatures and dates are included.
What is the purpose of student health history?
The purpose of student health history is to provide health care providers with crucial information needed to deliver safe and effective medical care and to identify any necessary health-related accommodations.
What information must be reported on student health history?
Information that must be reported includes personal identification details, medical conditions, allergies, immunization records, past surgeries, and the names of current medications.
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