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Cal Poly Humboldt, Student Health and Wellbeing Services F2022Immunizations: Certificate of Medical Exemption Patients Name: ___ If legal name differs from chosen name, please note aka here: ___ Patients
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It is a form that students need to fill out regarding their health and wellbeing at Humboldt State University.
All students enrolled at Humboldt State University are required to file this form.
Students can fill out the form online by visiting the health center's website and following the instructions provided.
The purpose of the form is to ensure that students are maintaining their health and wellbeing while attending the university.
Students must report their current health status, any medical conditions or medications they are taking, and emergency contact information on the form.
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