
Get the free Student Health Record - Radford University
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Revised 8/2020Radford University
School of Nursing
HEALTH RECORD FORM
The School of Nursing requires a complete Health Record and Certificate of Immunization be completed and
signed by a licensed
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How to fill out student health record

How to fill out student health record
01
Gather the necessary information about the student's medical history, including any previous illnesses, allergies, and medications.
02
Obtain the student health record form from the school or educational institution.
03
Fill out the student's personal information, such as name, date of birth, and contact details.
04
Provide information about the student's primary healthcare provider or pediatrician, including their name and contact information.
05
Indicate any emergency contact information in case of medical emergencies.
06
Document the student's immunization history, including the vaccines received and their dates.
07
Include information about any pre-existing conditions or chronic illnesses the student may have.
08
Record any current medications the student is taking, including dosage and frequency.
09
Ensure that the form is signed and dated by the student's parent or guardian.
10
Submit the completed student health record to the appropriate authority or school personnel.
Who needs student health record?
01
Students attending educational institutions, such as schools, colleges, or universities, typically need a student health record.
02
Parents or guardians of the student are responsible for completing and maintaining the student health record.
03
Healthcare professionals and school administrators may also require access to the student health record for medical and emergency purposes.
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What is student health record?
A student health record is a comprehensive document that contains information about a student's health history, vaccinations, and any medical conditions that may affect their education.
Who is required to file student health record?
Typically, parents or guardians of the student are required to file the student health record, along with schools and educational institutions as part of their enrollment process.
How to fill out student health record?
To fill out a student health record, gather relevant health information such as immunization records, past medical history, current medications, and any allergies, and then complete the designated form provided by the school or institution.
What is the purpose of student health record?
The purpose of a student health record is to ensure that schools have essential information to provide appropriate care and support to students, promote student well-being, and comply with health regulations.
What information must be reported on student health record?
The information that must be reported includes personal identification details, vaccination records, medical history, allergies, medications, and emergency contact information.
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