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A352 (rev.12/19)WORTHINGTON SCHOOLS STUDENT HEALTH HISTORY FORM DEMOGRAPHIC DATA Students name: ___ Grade: ___Today's Date: ___Birthdate: ___ MaleFemaleStudents address: ___ streetcar/Guardians namecitystatezipMother:
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How to fill out worthington schools student health
How to fill out worthington schools student health
01
Obtain the student health form from Worthington Schools.
02
Fill in the student's personal information including name, address, phone number, and date of birth.
03
Provide details of any medical conditions the student has, as well as any medications they are currently taking.
04
Sign and date the form as the parent or legal guardian of the student.
05
Return the completed form to the appropriate school officials or health department.
Who needs worthington schools student health?
01
All students attending Worthington Schools are required to have a student health form on file.
02
This form ensures that the school has necessary medical information in case of emergencies or health issues while on school grounds.
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What is worthington schools student health?
Worthington Schools Student Health is a program designed to ensure the well-being and medical needs of students attending Worthington Schools.
Who is required to file worthington schools student health?
All students attending Worthington Schools are required to have their student health information filed.
How to fill out worthington schools student health?
The student health form can be filled out online or submitted in person to the school's health office.
What is the purpose of worthington schools student health?
The purpose of Worthington Schools Student Health is to maintain accurate medical records for students and ensure their safety and well-being while at school.
What information must be reported on worthington schools student health?
The student health form typically includes information on the student's medical history, vaccinations, allergies, and emergency contact information.
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