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VERIFICATION OF STUDENT HEALTH HISTORY & PHYSICAL IMPRACTICAL NURSING (IN) PROGRAMStudents entering the IN Program are required to have their medical provider complete this form. Please check the
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Step 1: Download the prairiestateeduassetsglobalstudent health history form from the Prairie State College website.
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Step 2: Fill out your personal information, including your full name, date of birth, and contact details.
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Step 3: Provide information about your medical history, including any chronic conditions, allergies, or previous surgeries.
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Step 4: Indicate any medications you are currently taking and provide the dosage and frequency.
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Step 5: Include information about your immunization history, including dates and types of vaccines received.
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Step 6: If applicable, provide details about any disabilities or special accommodations you may require.
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Step 7: Review the completed form to ensure all information is accurate and legible.
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Step 9: Submit the filled-out prairiestateeduassetsglobalstudent health history form to the appropriate department or healthcare provider as instructed.

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The prairiestateeduassetsglobalstudent health history form is required for all students enrolled at Prairie State College.
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It is necessary for students to provide their medical history and any relevant information to ensure appropriate healthcare services and accommodations.
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The form helps healthcare providers better understand and address students' health needs while studying at the college.
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prairiestateeduassetsglobalstudent health history and is a form that collects information about a student's medical history and health conditions.
All students enrolled at Prairie State College are required to fill out prairiestateeduassetsglobalstudent health history and form.
Students can fill out prairiestateeduassetsglobalstudent health history and form online or by downloading a PDF version from the college's website and submitting it electronically or in person.
The purpose of prairiestateeduassetsglobalstudent health history and form is to ensure that the college is aware of any existing medical conditions or health concerns that may affect a student's academic performance or require special accommodations.
Students are required to report information about their medical history, current medications, allergies, and any ongoing medical treatment or conditions.
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