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Student and Employee Health Screening Before and After Travel for ADAM (Updated 5/21)Complete the top portion of this form and EMAIL this form to school office PRIOR to travel (office nativitysch.com):
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How to fill out student and employee health

How to fill out student and employee health
01
To fill out student health form, follow these steps:
02
Obtain the student health form from the educational institution or download it from their website.
03
Read the instructions carefully to understand the information and documents required for the form.
04
Provide personal details such as name, date of birth, contact information, and student ID.
05
Fill in the medical history section, mentioning any pre-existing conditions, allergies, medications, or surgeries.
06
Complete the immunization section by providing information on vaccines received and their dates.
07
Attach any necessary supporting documents like medical reports, vaccination records, or insurance information.
08
Review the filled form for any errors or missing information.
09
Sign and date the form to certify the provided information is accurate and true.
10
Submit the completed student health form to the concerned authority or follow the specified submission procedure.
11
12
To fill out employee health form, follow these steps:
13
Obtain the employee health form from the employer or human resources department.
14
Read the instructions thoroughly to understand the required information and supporting documents.
15
Provide personal details such as name, employee ID, contact information, and employment start date.
16
Fill in the medical history section, disclosing any existing conditions, past illnesses, surgeries, or allergies.
17
Complete the insurance section by providing details of the health insurance plan, if applicable.
18
Mention any current medications being taken or ongoing treatments.
19
Attach any relevant medical reports or documents if requested by the employer.
20
Review the filled form for accuracy and completeness.
21
Sign and date the form to confirm the accuracy of the provided information.
22
Submit the completed employee health form to the designated department or follow the specified submission process.
Who needs student and employee health?
01
Both students and employees require student and employee health forms respectively.
02
Students need to fill out student health forms to ensure their medical information is available to the educational institution in case of emergencies, to fulfill vaccination requirements, and to ascertain healthcare needs.
03
On the other hand, employees need to fill out employee health forms to provide necessary information for employer-provided health insurance, to assess fitness for specific job requirements, and to document any pre-existing conditions or medical limitations that may affect their work.
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What is student and employee health?
Student and employee health refers to the physical and mental well-being of individuals who are either attending school or working for an organization.
Who is required to file student and employee health?
School administrators and HR departments are typically responsible for filing student and employee health information.
How to fill out student and employee health?
Student and employee health can be filled out by collecting relevant information such as medical history, vaccination records, and any existing health conditions.
What is the purpose of student and employee health?
The purpose of student and employee health is to ensure that individuals are healthy and able to perform their academic or job-related duties effectively.
What information must be reported on student and employee health?
Information such as current medical conditions, allergies, medications, emergency contact information, and vaccination records must be reported on student and employee health forms.
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