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Veterinary Technology Distance Learning Program 4601 College Blvd., Farmington, NM 87402 Toll free: 18883133838 Fax: 15055663570HEALTH RISK ACKNOWLEDGEMENT AND RELEASE OF LIABILITY FOR CLINICAL INSTRUCTION
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To fill out the health risk acknowledgement, follow these steps:
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Obtain the health risk acknowledgement form from the designated source.
03
Read the form carefully and understand all the information provided.
04
Enter your personal details as required, such as your full name, date of birth, and contact information.
05
Review the health risk questions listed on the form and answer them accurately.
06
If there are any additional sections or declarations to be made, make sure to provide the necessary information.
07
Sign and date the acknowledgement form to indicate your understanding and acceptance of the health risks involved.
08
Submit the filled-out form to the relevant authority or organization as instructed.

Who needs health risk acknowledgement and?

01
Health risk acknowledgement may be required by various entities, such as:
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- Employers for employees returning to work
03
- Educational institutions for students returning to campus
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- Event organizers for attendees/participants
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- Healthcare facilities for patients seeking treatment
06
- Volunteer organizations for volunteers
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- Travel agencies for travelers
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- Any organization or institution concerned about the health and safety of individuals
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Health risk acknowledgement is a form that individuals fill out to acknowledge the potential health risks associated with a certain activity or environment.
Anyone participating in the activity or entering the environment for which the health risk acknowledgement is required.
Fill out the form by providing accurate and truthful information about your health status and any potential risks you may be exposed to.
The purpose is to inform individuals about potential health risks and ensure they understand and accept these risks before participating in the activity or entering the environment.
Information about your health status, any pre-existing conditions, potential hazards in the environment, and any precautions or protective measures you need to take.
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