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Student Health Information STUDENT NAME: ___ Birth Date:___ School Year: 202223 Grade: ___ If parents can not be reached, please list two emergency contacts and phone numbers: Emergency Contact #1:
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How to fill out student health history and

01
Obtain the student health history form from the school or educational institution.
02
Begin by filling out the personal information section, including the student's name, date of birth, and contact information.
03
Proceed to fill out the medical history section, disclosing any relevant health conditions, allergies, medications, or previous illnesses.
04
Provide emergency contact information for the student in case of a medical emergency.
05
Sign and date the form to certify that the information provided is accurate.
06
Submit the completed student health history form to the appropriate school authorities.

Who needs student health history and?

01
Schools, educational institutions, and healthcare providers require student health history to ensure the well-being and safety of students.
02
Parents or legal guardians of students may also need access to student health history for medical purposes or in case of emergencies.
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Student health history is a form that documents a student's medical information, including any existing health conditions, allergies, medications, and past medical treatments.
Parents or guardians of students are typically required to fill out and submit student health history forms to schools or educational institutions.
Parents or guardians can typically fill out student health history forms either electronically through online portals provided by schools or manually by completing paper forms.
The purpose of student health history is to provide schools with important medical information about students in order to ensure their safety and well-being while on campus.
Student health history forms typically require information on existing medical conditions, allergies, medications, past treatments, emergency contacts, and healthcare providers.
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