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20222023 Study Away Student Health Information Form PART A Student Reassessment Student Name:___ Instructions: Please complete PRIOR to your appointment with your medical provider(s) and bring it

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How to fill out study abroad health assessment

01

Obtain the study abroad health assessment form from your school or study abroad program

02

Fill out personal information including name, contact information, and emergency contact

03

Provide information on your medical history, current health conditions, and any prescription medications you are taking

04

Complete any required sections on vaccinations, insurance coverage, and emergency medical contacts

05

Submit the completed form to the designated office or individual at your school or study abroad program

Who needs study abroad health assessment?

01

Individuals planning to study abroad

02

Students participating in a study abroad program organized by their school or university

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What is study abroad health assessment?

Study abroad health assessment is a medical evaluation required for students planning to study abroad.

Who is required to file study abroad health assessment?

All students planning to study abroad are required to file a study abroad health assessment.

How to fill out study abroad health assessment?

To fill out a study abroad health assessment, students must provide information on their medical history, current health status, and any required vaccinations or medications for travel.

What is the purpose of study abroad health assessment?

The purpose of study abroad health assessment is to ensure that students are physically prepared for the challenges of studying abroad and can receive appropriate medical care if needed.

What information must be reported on study abroad health assessment?

Information such as medical history, current health status, and vaccination records must be reported on a study abroad health assessment.

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