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STUDENT CONSENT FORM TO RELEASE INFORMATION REGARDING PLUS STUDENT HEALTH INSURANCE PLAN* Federal Educational Rights and Privacy Act (FER PA) of 1974 20 USC 1232g and 34 CFR 99 Instructions to Student:
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Start by obtaining a physical copy of the Covid-19 protecting student form.
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Read the instructions on the form carefully to ensure you understand the requirements.
03
Begin filling out the form by providing your personal information such as your name, date of birth, and contact details.
04
Indicate the educational institution you are affiliated with as a student.
05
Specify any relevant medical conditions or allergies that may impact your vulnerability to Covid-19.
06
Provide details about your current vaccination status, including dates and types of vaccines received.
07
If you have not been vaccinated, state the reasons for not receiving the vaccine.
08
Sign and date the form to certify the accuracy of the information provided.
09
Submit the completed form to the appropriate authority or institution as instructed.

Who needs covid-19 - protecting student?

01
Any student attending an educational institution during the Covid-19 pandemic can benefit from filling out the Covid-19 protecting student form.
02
This form allows educational institutions to gather information about students' vaccination status, medical conditions, and other relevant details to appropriately support and protect them during the ongoing pandemic.
03
It is particularly important for students who have medical conditions or are more susceptible to Covid-19 to fill out this form as it can help their educational institutions implement necessary safety measures and accommodations.
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By providing accurate information through this form, students ensure that their educational institutions have a better understanding of their needs and can take appropriate actions to protect their health and well-being.
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COVID-19 protection for students includes measures such as sanitizing, social distancing, and wearing masks to prevent the spread of the virus.
Schools, educational institutions, and other organizations responsible for the well-being of students are required to implement COVID-19 protection measures.
COVID-19 protection measures can be filled out by following guidelines provided by health authorities and education departments.
The purpose of COVID-19 protection for students is to ensure a safe learning environment and reduce the risk of virus transmission among the student population.
Information such as number of COVID-19 cases among students, staff, and any measures taken to prevent the spread of the virus must be reported.
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