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HEALTH QUESTIONNAIRE Part Pasadena City College Student Health Services 1570 E. Colorado Blvd. D105 Pasadena, CA 91106Last eight digits of Student ID NumberBirthdate:___ Age:___USE BLACK INK ONLY
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How to fill out student health services forms

01
Obtain the student health services forms from the school's health center or website.
02
Fill out personal information such as name, date of birth, and contact information.
03
Provide details of any pre-existing medical conditions or allergies.
04
Include information about immunizations and insurance coverage.
05
Sign and date the form to acknowledge accuracy and consent.
06
Submit the completed forms to the school's health center before the deadline.

Who needs student health services forms?

01
Students who wish to utilize the health services provided by their school's health center.
02
Students participating in school-sponsored sports or activities that require medical clearance.
03
Students with pre-existing medical conditions or allergies that may require special accommodations.
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Student health services forms are documents that provide important health and medical information about students for school administrative purposes.
All students enrolled in educational institutions are typically required to file student health services forms.
Student health services forms can be filled out by providing accurate and up-to-date health and medical information about the student, as well as any necessary signatures.
The purpose of student health services forms is to ensure that schools have necessary health information about students to provide appropriate care and support while on campus.
Student health services forms typically require information such as medical history, allergies, current medications, emergency contacts, and insurance information.
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