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University Health and Counseling Services 70 Forsyth Street 135 Forsyth Building Boston, MA 02115 6173732772 (phone) 6173732601 (fax) immunizations@northeastern.eduUNIVERSITY HEALTH REPORT Massachusetts
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How to fill out university health report
How to fill out university health report
01
Obtain the university health report form from the appropriate department or health center at your university.
02
Fill out your personal information including name, date of birth, address, and contact information.
03
Provide details about your medical history including any pre-existing conditions or medications you are currently taking.
04
Complete any sections related to immunizations or vaccinations you have received.
05
If required, have a healthcare professional sign and stamp the form to verify the information provided.
06
Submit the completed university health report form to the designated office or individual at your university.
Who needs university health report?
01
Students applying for university admission may need to provide a university health report as part of their application.
02
International students entering a new country for studies may be required to submit a university health report to ensure they meet health and safety standards.
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What is university health report?
The university health report is a report that contains information on the overall health and wellness of the university community.
Who is required to file university health report?
The university administration or designated health authorities are required to file the university health report.
How to fill out university health report?
The university health report can be filled out electronically or manually, following the guidelines provided by the health department.
What is the purpose of university health report?
The purpose of the university health report is to monitor and assess the health status of the university community, identify any health trends or issues, and implement necessary interventions.
What information must be reported on university health report?
The university health report must include data on student and staff demographics, health services utilization, prevalence of diseases or health conditions, health education initiatives, and any outbreaks or health emergencies.
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