California University of Pennsylvania Medical Information Form 2019 free printable template

ATHLETESUniversity Wellness Center Carter Hall 250 University Avenue California, Pennsylvania 154191394 Phone: (724) 9384232 FAX:(724) 9384509It is your responsibility to make a copy of this form

How to fill out California University of Pennsylvania Medical Information Form

How to fill out California University of Pennsylvania Medical Information Form

1. Obtain the California University of Pennsylvania Medical Information Form from the university's website or campus health office.
2. Read the instructions carefully to understand what information is required.
3. Fill out your personal information, including your full name, student ID, date of birth, and contact details.
4. Provide emergency contact information for someone who can be reached in case of an emergency.
5. Detail your medical history, including any chronic conditions, allergies, and current medications.
6. Indicate any previous surgeries or hospitalizations that may be relevant.
7. Sign and date the form to confirm that the information provided is accurate.
8. Submit the completed form by the specified deadline, either online or in person as directed.

Who needs California University of Pennsylvania Medical Information Form?

1. All incoming students at California University of Pennsylvania are required to complete the Medical Information Form.
2. Students participating in certain campus activities, sports, or health services may also need to submit the form.

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What is California University of Pennsylvania Medical Information Form?

The California University of Pennsylvania Medical Information Form is a document used to collect health-related information from students for medical and emergency purposes.

Who is required to file California University of Pennsylvania Medical Information Form?

All new students, including undergraduate and graduate students, as well as returning students who have not submitted the form in previous years, are required to file the California University of Pennsylvania Medical Information Form.

How to fill out California University of Pennsylvania Medical Information Form?

To fill out the California University of Pennsylvania Medical Information Form, students should carefully follow the instructions provided in the form, ensuring that all personal health information, emergency contacts, and medical history sections are completed accurately.

What is the purpose of California University of Pennsylvania Medical Information Form?

The purpose of the California University of Pennsylvania Medical Information Form is to ensure that the university has essential health information readily available in case of emergencies and to support student health services.

What information must be reported on California University of Pennsylvania Medical Information Form?

The California University of Pennsylvania Medical Information Form requires students to report personal health history, current medications, allergies, emergency contact information, and any relevant medical conditions.