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THIS PAGE IS FOR YOUR RECORDS. PLEASE DO NOT RETURN WITH HEALTH FORM. Health Record Checklist: I am aware that if I am a recent PC graduate and have health records on file at the Student Health Office,

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How to fill out student health medical records

01

Obtain the student health medical records form from the school or healthcare provider.

02

Fill in the student's personal information such as name, date of birth, and contact information.

03

Provide details of the student's medical history including any past illnesses, surgeries, or ongoing medical conditions.

04

Include information about the student's current medications and dosage, if applicable.

05

Specify any allergies or sensitivities the student may have.

06

Sign and date the form to certify the information provided is accurate.

07

Submit the completed form to the school or healthcare provider as needed.

Who needs student health medical records?

01

School administrators and staff who are responsible for the student's health and well-being.

02

Healthcare providers who may need to treat the student in case of illness or emergency.

03

Parents or guardians who need to provide consent for medical treatment for the student.

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What is student health medical records?

Student health medical records are documents containing information about a student's health history, allergies, medications, and any medical conditions they may have.

Who is required to file student health medical records?

School administrators or the student's parents/guardians are typically required to file student health medical records.

How to fill out student health medical records?

Student health medical records can be filled out by providing accurate and up-to-date information about the student's health history, allergies, medications, and medical conditions.

What is the purpose of student health medical records?

The purpose of student health medical records is to ensure that schools have important health information about students to provide appropriate care and support when needed.

What information must be reported on student health medical records?

Student health medical records must include the student's health history, allergies, medications, any medical conditions, emergency contacts, and relevant healthcare providers.

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