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Get the free NEW STUDENT HEALTH FORM - hampshire.edu

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HAMPSHIRE COLLEGE HEALTH & COUNSELING SERVICES 893 West Street, Amherst, MA 01002 FX (413) 559.5583 PH (413) 559.5458IMMUNIZATION FORM TO BE FILLED OUT BY HEALTHCARE PROVIDER THIS FORM IS REQUIRED
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How to fill out new student health form

01
Start by downloading the new student health form from the school's website or obtain a hard copy from the administration office.
02
Read the instructions provided on the form carefully to understand the information required and any specific guidelines to follow.
03
Begin filling out the form by providing personal details such as the student's name, date of birth, address, and contact information.
04
Next, provide information regarding the student's medical history, including any existing medical conditions, allergies, or previous surgeries.
05
If the student currently takes any medication, indicate the medication name, dosage, and frequency of use.
06
Provide emergency contact information, including the name, relationship, and contact number of a person who can be reached in case of medical emergencies.
07
If necessary, attach any supporting documents such as immunization records or medical reports.
08
Review the form to ensure all sections are completed accurately and legibly.
09
Sign and date the form, verifying that all the information provided is true and correct.
10
Submit the completed form to the school's designated department or office as instructed.

Who needs new student health form?

01
Any new student who is enrolling in the school needs to fill out the new student health form. This includes both incoming kindergarten students and students transferring from other schools.
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The new student health form is a document that collects essential health information from new students entering an educational institution to ensure their medical needs are met.
All new students, including both undergraduate and graduate students, are required to file the new student health form before starting their classes.
To fill out the new student health form, students should complete the form accurately with personal and medical information, ensure they have the required vaccinations, and submit it by the designated deadline.
The purpose of the new student health form is to gather health information to ensure that students receive proper health care services and to maintain a healthy campus environment.
Students must report personal information such as name, date of birth, medical history, vaccination records, and emergency contact details.
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