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LEIGH UNIVERSITY Health & Wellness Century Forename ___ DOB ___ Age ___Gender at Birth ___Cell Phone ___ Preferred Pronouns___ Allergies to Medications: ___ Other: ___ MEDICAL HISTORY (circle if YES,
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Gather all necessary information such as personal details, medical history, current health concerns, and insurance information.
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Obtain the required forms from the health & wellness center at your student center.
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Fill out the forms accurately and completely, making sure to provide detailed information where necessary.
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Submit the completed forms to the designated office or staff at the health & wellness center.

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Health & wellness center/student is a facility or service that promotes physical, mental, and emotional well-being among students.
Schools, universities, or educational institutions are required to file health & wellness center/student.
You can fill out health & wellness center/student by providing information about the services offered, number of students served, and any partnerships or collaborations.
The purpose of health & wellness center/student is to support and improve the overall health and well-being of students.
Information such as services provided, number of students served, staff qualifications, and outcomes must be reported on health & wellness center/student.
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