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VITERBO UNIVERSITY STUDENT HEALTH FORM **NEW STUDENT ATHLETES: PRESENT THIS FORM TO PROVIDER AT PARTICIPATION PHYSICAL EXAM** Name (Last/Family) (First) (Middle) Social Security NumberBirth Date:Sex:Permanent
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Obtain the necessary forms from Viterbo University Health Services.
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Fill out personal information, including name, date of birth, address, and phone number.
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Provide insurance information, including policy number and primary insurance holder details.
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Answer questions about medical history, including any pre-existing conditions or allergies.
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Complete emergency contact information, including name, relationship, and phone number.
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Sign and date the form to indicate consent and agreement with the terms.
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Submit the filled-out form to Viterbo University Health Services for processing.

Who needs viterbo university health services?

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Viterbo University Health Services is available for all students enrolled at Viterbo University.
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It is especially important for students who are in need of routine healthcare services,
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have specific medical conditions, require medications management, or need emergency medical assistance.
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Viterbo University Health Services provides comprehensive healthcare support for students' physical and mental well-being.
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Viterbo University Health Services provides medical care and support to students, promoting wellness and addressing health concerns on campus.
All enrolled students at Viterbo University are required to file health services forms to ensure access to medical care and compliance with university health policies.
Students can fill out Viterbo University Health Services forms by accessing them through the university's website or the student portal, following the provided instructions and submitting necessary documentation.
The purpose of Viterbo University Health Services is to support students' physical and mental health, providing necessary medical care, health education, and resources for a healthy campus environment.
Students must report their medical history, current health conditions, vaccinations, and any medications they are taking on the Viterbo University Health Services forms.
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