Form preview

Get the free STUDENT HEALTH HISTORY FORM (Admission History)

Get Form
Medical Information Form Student Name: D.O.B. Check off any medical conditions that apply for this student: Asthma Vision Problems o Please list Diabetes Hypertension Hearing Problems Acne Physical
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign student health history form

Edit
Edit your student health history form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your student health history form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing student health history form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit student health history form. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
Dealing with documents is always simple with pdfFiller. Try it right now

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out student health history form

Illustration

How to fill out student health history form

01
Obtain a copy of the student health history form from the appropriate source, such as the school or healthcare provider.
02
Read the instructions and familiarize yourself with the sections and questions on the form.
03
Provide accurate and up-to-date personal information of the student, including name, age, date of birth, and contact details.
04
Answer all the questions on the form honestly and to the best of your knowledge.
05
Pay special attention to any medical conditions, allergies, or medications the student may have.
06
Provide details of the student's immunization history, including dates of vaccinations.
07
Include information about any major illnesses, surgeries, or hospitalizations the student has experienced.
08
If needed, attach any supporting documentation, such as medical reports or prescriptions.
09
Review the completed form for any errors or omissions before submitting it.
10
Submit the filled-out student health history form to the intended recipient.
11
Note: It is important to ensure the privacy and confidentiality of the information provided.

Who needs student health history form?

01
Any student who is enrolling in educational institutions, such as schools, colleges, or universities, typically needs to fill out a student health history form. This form helps the educational institution gather important medical information about the student and ensures that appropriate healthcare and safety measures can be taken. It is also useful for healthcare providers who may need to access the student's medical history for treatment purposes. Additionally, parents or legal guardians of a minor student may need to fill out the form on behalf of the student.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.3
Satisfied
38 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The premium subscription for pdfFiller provides you with access to an extensive library of fillable forms (over 25M fillable templates) that you can download, fill out, print, and sign. You won’t have any trouble finding state-specific student health history form and other forms in the library. Find the template you need and customize it using advanced editing functionalities.
The editing procedure is simple with pdfFiller. Open your student health history form in the editor, which is quite user-friendly. You may use it to blackout, redact, write, and erase text, add photos, draw arrows and lines, set sticky notes and text boxes, and much more.
As a PDF editor and form builder, pdfFiller has a lot of features. It also has a powerful e-signature tool that you can add to your Chrome browser. With our extension, you can type, draw, or take a picture of your signature with your webcam to make your legally-binding eSignature. Choose how you want to sign your student health history form and you'll be done in minutes.
Student health history form is a document that contains information about a student's medical history, including any pre-existing conditions, allergies, medications, and immunization records.
All students, usually incoming or returning students, are required to file a student health history form.
To fill out a student health history form, students or their parents/guardians need to provide detailed information about the student's medical history, allergies, medications, and immunization records. They may need to consult with a healthcare provider for accurate information.
The purpose of the student health history form is to ensure that educational institutions have necessary information about a student's medical history to provide appropriate care and support while on campus.
Student health history form may require information on pre-existing conditions, allergies, medications, immunization records, contact information for emergency purposes, and any other relevant medical information.
Fill out your student health history form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.