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FOR UNIVERSITY HEALTH SERVICES USE Blythe University of Texas at Austin Department of intercollegiate Athletics & Youth Protection Program REQUIRED MEDICAL RELEASE FORMSPatient Name: Medical Record
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How to fill out for university health services

01
Obtain the necessary forms from the university health services office.
02
Read the instructions on the forms carefully to understand what information is required.
03
Fill out personal information such as name, student identification number, date of birth, and contact details.
04
Provide information about your medical history, including any ongoing conditions, allergies, or medications you are currently taking.
05
Fill out a detailed health questionnaire, answering questions about your overall health, past illnesses, surgeries, and family medical history.
06
If applicable, provide documentation of vaccinations and immunizations.
07
If you have any specific health concerns or conditions you would like the university health services to be aware of, mention them in the designated section.
08
Review the completed forms to ensure all information is accurate and legible.
09
Submit the forms to the university health services office by the specified deadline.
10
Keep a copy of the completed forms for your records.

Who needs for university health services?

01
All students enrolled in the university are eligible and may require university health services.
02
This includes undergraduate and graduate students, international students, part-time students, and those living on or off-campus.
03
University health services provide medical care, counseling, health education, and support services to promote the overall well-being of students.
04
Students who need routine check-ups, preventive care, immunizations, mental health support, or treatment for minor illnesses and injuries can benefit from the university health services.
05
In case of emergencies or serious medical conditions, students may also need to seek immediate assistance from the university health services.
06
It is recommended for all students to avail these services to maintain good health and address any health-related concerns during their academic journey.
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University health services are medical services provided to students, faculty, and staff of a university.
All students, faculty, and staff of the university are required to file for university health services.
To fill out for university health services, individuals must complete the necessary forms and provide any requested medical information.
The purpose of university health services is to ensure the health and well-being of the university community.
Information such as medical history, insurance information, and emergency contacts must be reported on for university health services.
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