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Get the free Student Health History - rev. 10-04

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615 Snow Avenue, Richland, WA 99352Student Health History Form Parent/guardian, please complete: Name of Student: School: Grade: Date of Birth: Sex: Male FemaleLife Threatening Medical Conditions:
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How to fill out student health history

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To fill out the student health history, follow these steps:
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Start by gathering all necessary information such as the student's personal details, medical history, and emergency contact information.
03
Begin by filling in the student's personal details including their full name, date of birth, gender, and contact information.
04
Move on to documenting the student's medical history, including any pre-existing conditions, allergies, medications, and previous surgeries or hospitalizations.
05
Provide any additional information requested, such as immunization records or notes from healthcare providers.
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Finally, ensure that emergency contact information is accurately filled out, including the names and phone numbers of designated individuals to be contacted in case of an emergency.
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Review the completed student health history form for accuracy and completeness before submitting it to the relevant institution or healthcare provider.

Who needs student health history?

01
Student health history is needed by educational institutions, schools, colleges, and universities.
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It is also required by healthcare providers such as doctors, nurses, and school nurses.
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Parents or guardians may need the student health history to monitor their child's health and provide necessary information to healthcare professionals.
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In emergency situations, first responders or paramedics may require access to the student health history to provide appropriate medical care.
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Student health history is a comprehensive record that details a student's medical background, including past illnesses, immunizations, allergies, surgeries, and other health-related information that may impact their well-being and treatment in an educational setting.
Typically, all newly enrolled students, including incoming freshmen and transfer students, are required to file student health history. This may also apply to students returning after a considerable absence.
To fill out student health history, you generally need to provide accurate and complete information regarding your medical history, including any pre-existing conditions, medications, allergies, and vaccination records. Some institutions may provide specific forms to be filled out either online or in paper format.
The purpose of student health history is to ensure that educational institutions are aware of any health concerns that may affect students' participation in activities and to provide a basis for appropriate medical care and support services, thereby promoting student health and safety.
Information that must be reported usually includes personal identification details, previous medical conditions, surgical history, vaccination status, allergies, medications being taken, and contact information for parents or guardians.
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