Get the free MIT Student Medical Report Form 61676166
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HEALTH HISTORY & INFORMATION Name: Age: Gender: M F Home Address: City, State, ZIP: Phone () Cell Phone () Emergency Contacts: Parent/Guardian Health History: () Diabetes () Heart defect/murmur ()
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What is mit student medical report?
The MIT Student Medical Report is a document that collects health information about students to ensure they meet the medical requirements for enrollment and to facilitate appropriate health care services.
Who is required to file mit student medical report?
All incoming students at MIT, including undergraduate and graduate students, are required to file the MIT Student Medical Report.
How to fill out mit student medical report?
The MIT Student Medical Report can be filled out online through the MIT Medical patient portal or by completing a paper form, which can be submitted via mail or in person.
What is the purpose of mit student medical report?
The purpose of the MIT Student Medical Report is to ensure that the university has the necessary health information to provide adequate medical care and to monitor students' health needs.
What information must be reported on mit student medical report?
The report typically requires personal health history, immunization records, any ongoing medical conditions, and information regarding any medications currently being taken.
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