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Medical Statement for Students with Special Nutritional Needs for School Meals Return to: Cleveland County Schools — Child Nutrition 400 West Marion Street, Shelby, NC 28150 or FAX 704-476-8308 Telephone:
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How to fill out medical statement for students

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How to fill out a medical statement for students:

01
Obtain the form: The first step in filling out a medical statement for students is to obtain the necessary form. You can usually get this form from your school or educational institution's administration office or website.
02
Read the instructions: Before filling out the medical statement, carefully read through the instructions provided on the form. This will give you an understanding of what information is required and how to accurately complete the form.
03
Personal information: Start by filling out the personal information section of the medical statement. This may include your full name, date of birth, student identification number, and contact details. Make sure to write legibly and provide accurate information.
04
Medical history: In the medical history section, you will be asked to provide details about any existing medical conditions, allergies, or disabilities you may have. Be truthful and thorough when providing this information as it will help the school ensure your safety and well-being.
05
Medications and treatments: If you are currently on any medication or undergoing any medical treatment, make sure to list them in the appropriate section of the form. Include the name of the medication or treatment, dosage, and frequency.
06
Emergency contact information: It is essential to provide emergency contact information in case of any medical emergencies. Include the names, phone numbers, and relationships of at least two emergency contacts who can be reached in case of an emergency.
07
Medical practitioner's information: You might be required to provide information about your primary healthcare provider or the medical professional overseeing your treatment. This can include their name, contact details, and any relevant medical practice information.
08
Sign and date: Once you have completed all the required sections of the medical statement, review it for accuracy and completeness. Sign and date the form in the designated area to acknowledge that the information provided is true and accurate to the best of your knowledge.

Who needs a medical statement for students?

01
Students with pre-existing medical conditions: Students who have pre-existing medical conditions, such as asthma, diabetes, epilepsy, or allergies, may be required to provide a medical statement. This helps the school to be aware of any specific care or accommodations that may be needed.
02
Students participating in physical activities: Some schools or educational institutions may require a medical statement for students participating in physical activities, sports, or school trips. This is done to ensure that students are physically fit and able to engage in these activities safely.
03
Students with disabilities: Students with disabilities may need to submit a medical statement to provide information about their condition and any accommodations or support they may require. This helps the school to provide appropriate resources and ensure equal opportunities for all students.
Overall, the purpose of a medical statement for students is to ensure the well-being and safety of students while they are at school or participating in school-related activities. It allows the school administration to have a comprehensive understanding of any medical conditions or considerations that need to be taken into account.
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Medical statement for students is a document that provides information about a student's medical history, conditions, and/or disabilities.
Typically, parents or guardians of students are required to file the medical statement for students.
Medical statement for students can be filled out by providing accurate and detailed information about the student's medical history, conditions, and/or disabilities.
The purpose of medical statement for students is to ensure that schools are aware of any medical needs or conditions that could affect a student's education and well-being.
Information such as medical history, current medical conditions, allergies, medications, and emergency contact information must be reported on medical statement for students.
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