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Merrick Woods Country Day School 1075 Merrick Ave. Merrick, NY 11566 ? 483-7272 ? Fax: 483-7271 STUDENT HEALTH REPORT 1. THIS PART TO BE COMPLETED BY PARENT (Please use back if necessary) Authorization:
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How to fill out a school health form:

01
Start by carefully reading the instructions provided on the form. It is important to understand what information is required and how it should be provided.
02
Begin filling out the personal details section, including your full name, date of birth, address, and contact information. Double-check the accuracy of this information before moving forward.
03
Provide information about your medical history. This may include any chronic conditions, allergies, medications, or surgeries you have had. Be thorough and accurate to ensure the form is complete.
04
Indicate if you have any specific health concerns or conditions that the school should be aware of. This could include asthma, diabetes, epilepsy, or any other relevant information.
05
Include emergency contact details. This should include the name, relationship, and contact numbers of a person who can be reached in case of an emergency.
06
If required, fill out a section specifically for consent to administer medication. Indicate the types of medication you may need to take, the dosage, and any specific instructions.
07
Sign and date the form. By affixing your signature, you acknowledge that the information provided is true and accurate to the best of your knowledge.
08
After completing the form, review it once again to ensure all necessary information has been included and accurately provided.
09
Return the filled-out form to the designated school personnel or follow the submission instructions provided.

Who needs a school health form:

01
Students who are enrolling in a new school or transferring from a different school typically need to complete a school health form.
02
Students participating in school sports or physical education programs may be required to submit a health form to ensure they are fit for physical activity.
03
Students with specific health conditions, allergies, or medical needs may need to complete a school health form for the school to be aware and adequately prepared to support their needs.

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The school health form is a document that gathers information about a student's health condition, vaccinations, and medical history.
All students attending school are required to file a school health form.
The school health form can be filled out by the student's parent or guardian, with information provided by the student's healthcare provider.
The purpose of the school health form is to ensure that the school has important information about a student's health in case of emergencies.
The school health form must include information about the student's medical history, allergies, medications, vaccinations, and any chronic conditions.
The deadline to file the school health form in 2023 is typically at the beginning of the school year, around August or September.
The penalty for the late filing of the school health form may vary by school district, but could include a temporary suspension of the student from attending classes.
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